Jonathan Leong, PA-C

NPI #1366058158 in Atwater, California

Provider Information

NPI Number: 1366058158
Entity Type: Individual
Name: Jonathan Leong, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 17, 2020
Last Updated: Sep 17, 2020

Practice Location

Address: 1775 3RD ST
City: Atwater
State: California
ZIP Code: 95301-3608
Phone: (209) 358-5611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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