Damon Tanner Leach

NPI #1043093859 in Roseville, California

Provider Information

NPI Number: 1043093859
Entity Type: Individual
Name: Damon Tanner Leach
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 15, 2023
Last Updated: Aug 21, 2024

Practice Location

Address: 1540 EUREKA RD
City: Roseville
State: California
ZIP Code: 95661-3056
Phone: (213) 464-2651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

Additional Practice Locations

12000 Enterprise Dr

Auburn, CA, 95603-3730

(530) 722-2233

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