JASON ALEXANDER LEAL

BULLHEAD CITY, AZ
NPI1396066460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2010-06-11
Last Update Date2021-07-08
Business Address
JASON ALEXANDER LEAL CPO
1744 HIGHWAY 95 STE 2
BULLHEAD CITY, AZ 86442
Phone number: 928-234-7114
Mailing Address
JASON ALEXANDER LEAL CPO
3767 LOGANS COURT
BULLHEAD CITY, AZ 86442
Phone number: 928-234-7114