Individual provider · Type 1 NPI

Brooklyn Tasani Leahy

Student in an Organized Health Care Education/Training Program · Lake Elsinore, CA

NPI number 1801729017 Active

Practice location

265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400

Call (951) 674-9243 Map

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.

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About NPI 1801729017

Brooklyn Tasani Leahy's National Provider Identifier is 1801729017, issued on Jun 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jun 6, 2026.