TRAVIS LEACH

LOS ANGELES, CA
NPI1437957453
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2025-03-05
Last Update Date2025-05-14
Business Address
TRAVIS LEACH
655 MAPLE AVE
LOS ANGELES, CA 90014-2211
Phone number: 310-848-9194
Mailing Address
TRAVIS LEACH
655 MAPLE AVE
LOS ANGELES, CA 90014-2211
Phone number: 310-848-9194
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