LESLIE MITCHAM

Rehabilitation Practitioner

Active Individual
NPI: 1124576087

Practice Address

1540 EUREKA RD STE 100
Roseville, CA 95661

Phone: (323) 295-4555

Specialties

Specialty Code Primary License
Rehabilitation Practitioner 225400000X Yes -
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1124576087 is the National Provider Identifier for LESLIE MITCHAM, a Rehabilitation Practitioner provider located in Roseville, CA. This NPI was enumerated on September 20, 2016.
LESLIE MITCHAM practices at 1540 EUREKA RD STE 100, Roseville, CA 95661.

Quick Facts

NPI
1124576087
Type
Individual
Enumerated
Sep 20, 2016
Last Updated
Apr 22, 2025

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