JASON TRAVIS LEATHERMAN

SAN DIEGO, CA
NPI1154678357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  254100)
Enumeration Date2012-08-07
Last Update Date2012-08-07
Business Address
-- JASON TRAVIS LEATHERMAN LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
Mailing Address
-- JASON TRAVIS LEATHERMAN LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
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