Individual
DR. HOLLY LEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
152 CATHERINE LN STE F, GRASS VALLEY, CA 95945
(888) 966-2398
(844) 235-8334
Mailing address
152 CATHERINE LN STE F, GRASS VALLEY, CA 95945-5756
(888) 966-2398
(844) 235-8334
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0G79232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G792320
—
CA
01
—
0G79232
STATE LICENSE
CA
Enumeration date
07/21/2006
Last updated
01/11/2019
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