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Individual
MARVIN ENRIQUE LEIVA
Active
Individual
MARVIN ENRIQUE LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
632444
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
632444
CA
Other
Enumeration date
04/02/2009
Last updated
06/09/2021
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