TREY MICHAEL LEIVA

BATON ROUGE, LA
NPI1508432162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  327290)
Enumeration Date2021-06-03
Last Update Date2023-10-24
Business Address
TREY MICHAEL LEIVA
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810-7827
Phone number: 225-924-2424
Mailing Address
TREY MICHAEL LEIVA
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810-7827
Phone number: 225-924-2424