Most Relevant Information
Provider Data
| NPI Number: | 1003394669 |
| Provider Name: | STEPHEN WAYNE LEONG |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/04/2018 |
| Last Updated: | 08/04/2018 |
Provider Practice Location
3440 E LA PALMA AVE
ANAHEIM
CA
928062020
Practice Location Phone/Fax
| Phone: | 7146447570 |
| Fax: |
Provider Mailing Location
3440 E LA PALMA AVE
ANAHEIM
CA
928062020
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |