Individual
MINDY LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 N MARTIN AVE, TUCSON, AZ 85721-0001
(831) 212-3713
Mailing address
4402 N RODEO GULCH RD, SOQUEL, CA 95073-9428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
800715
CA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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