LEITH STATES

JACKSONVILLE, FL
NPI1992016158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-06-23
Last Update Date2010-06-23
Business Address
-- LEITH STATES M.D.
2005 KNIGHT LANE BLDG H ATTN: MEDICAL STAFF SERVICES NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212-0140
Phone number: 619-532-6400
Mailing Address
-- LEITH STATES M.D.
7665 PALMILLA DR APT 5207
SAN DIEGO, CA 92122-5032
Phone number: 626-905-5776