Joshua David Leiby

NPI #1205654092 in Venice, California

Provider Information

NPI Number: 1205654092
Entity Type: Individual
Name: Joshua David Leiby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 30, 2024
Last Updated: Oct 2, 2024

Practice Location

Address: 204 HAMPTON DR
City: Venice
State: California
ZIP Code: 90291-2623
Phone: (310) 399-6878

Specialties & Taxonomy Codes

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

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