Most Relevant Information
Provider Data
NPI Number: | 1003019662 |
Provider Name: | LEATA JEAMES |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 06/08/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
2201 TUOLUMNE ST
VALLEJO
CA
945892524
Practice Location Phone/Fax
Phone: | 7075581777 |
Fax: | 7075581770 |
Provider Mailing Location
355 CLIPPER CT
DIXON
CA
956204513
Provider Mailing Phone/Fax
Phone: | 7075581777 |
Fax: | 7075581770 |