Provider Demographics
NPI:1225276876
Name:LEAL, SARAH (LVN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:LEAL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 S ATWOOD ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8302
Mailing Address - Country:US
Mailing Address - Phone:559-732-8086
Mailing Address - Fax:559-622-0470
Practice Address - Street 1:625 S ATWOOD
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-1200
Practice Address - Country:US
Practice Address - Phone:559-732-8086
Practice Address - Fax:559-622-0470
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA212725164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse