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Leasza Provenzano
NPI 1497197032 · on the registry since 2013 · sole proprietor
Practice
- Address
- 130 Reflections Dr, #25
San Ramon, CA 94583 - Phone
- (510) 776-8303
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-07-24
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California