Individual
BASSANIO LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PULLMAN ST BLDG G, LIVERMORE, CA 94551-9756
(925) 960-6996
Mailing address
300 PULLMAN ST BLDG G, LIVERMORE, CA 94551-9756
(925) 960-6996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46341
CA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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