Individual
HEATHER LEISY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA, MPH
Contact information
Practice address
4301 X ST, SACRAMENTO, CA 95817-2214
(800) 282-3284
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
193607
CA
2083P0901X
Public Health & General Preventive Medicine Physician
MD52531
SC
Other
Enumeration date
04/15/2011
Last updated
08/08/2024
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