Leasza Provenzano is a student in an organized health care education training program in San Ramon, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Leasza Provenzano NPI is 1497197032. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
130 REFLECTIONS DR, #25
SAN RAMON, CA
ZIP 94583
Phone: (510) 776-8303
The enumeration date for this NPI number is 7/24/2013 and was last updated on 7/24/2013.