Individual
ANDREA LEEDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11776 MARIPOSA RD, HESPERIA, CA 92345-1622
(760) 956-2462
Mailing address
11776 MARIPOSA RD, HESPERIA, CA 92345-1622
(760) 956-2462
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
232867
CA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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