Search › Wisconsin › 311ZA0620X
Juvonta Leach
NPI 1740026426 · on the registry since 2024 · sole proprietor
Practice
- Address
- 6125 N 39th St
Milwaukee, WI 53209 - Phone
- (262) 281-0216
- Fax
- (855) 810-4227
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-02
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 Wisconsin