JASON ALEXANDER LEAL

BULLHEAD CITY, AZ
NPI1396066460
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X 
Enumeration Date2010-06-11
Last Update Date2025-02-21
Business Address
JASON ALEXANDER LEAL CPO
1730 HIGHWAY 95 STE 10
BULLHEAD CITY, AZ 86442-6909
Phone number: 928-299-3130
Mailing Address
JASON ALEXANDER LEAL CPO
1730 HIGHWAY 95 STE 10
BULLHEAD CITY, AZ 86442-6909
Phone number: 928-234-7114