LEASZA PROVENZANO

SAN RAMON, CA
NPI1497197032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-07-24
Last Update Date2013-07-24
Business Address
-- LEASZA PROVENZANO
130 REFLECTIONS DR, #25
SAN RAMON, CA 94583
Phone number: 510-776-8303
Mailing Address
-- LEASZA PROVENZANO
130 REFLECTIONS DR APT 25
SAN RAMON, CA 94583-4725
Phone number: 510-776-8303
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