Search › California › 367500000X
Jory Leiss
NPI 1578133948 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4067 Santa Ana Ave
Clovis, CA 93619 - Phone
- (484) 798-4284
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-01
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