Provider Demographics
NPI:1114531910
Name:LEUNG, NANCY Y (LMT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:Y
Last Name:LEUNG
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-2555
Mailing Address - Country:US
Mailing Address - Phone:415-568-7715
Mailing Address - Fax:
Practice Address - Street 1:824 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-2555
Practice Address - Country:US
Practice Address - Phone:415-568-7715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist