Jessica Leal

NPI #1790550739 in Dayton, Ohio

Provider Information

NPI Number: 1790550739
Entity Type: Individual
Name: Jessica Leal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Nov 20, 2023
Last Updated: Nov 20, 2023

Practice Location

Address: 7271 N. MAIN STREET, SUITE 3
City: Dayton
State: Ohio
ZIP Code: 45415
Phone: (937) 203-4928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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