Individual
CHRISTIAN MARCIO LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8440 PIT STOP CT NW, CONCORD, NC 28027-8245
(704) 960-1729
Mailing address
1201 LILY GREEN CT NW, CONCORD, NC 28027-2302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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