Individual provider · Type 1 NPI

Leasza Provenzano

Student in an Organized Health Care Education/Training Program · San Ramon, CA

NPI number 1497197032 Active

Practice location

130 Reflections Dr, #25
San Ramon, CA 94583

Call (510) 776-8303 Map

Mailing address

130 Reflections Dr Apt 25
San Ramon, CA 94583-4725

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in San Ramon

See all in San Ramon →

About NPI 1497197032

Leasza Provenzano's National Provider Identifier is 1497197032, issued on Jul 24, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Ramon, CA. The record was last updated on Jul 24, 2013.