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Individual
JERRY F LEANDADO
Active
Individual
JERRY F LEANDADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
170115
CA
261QA1903X
Ambulatory Surgical Clinic/Center
39-07
CA
Other
Enumeration date
12/18/2006
Last updated
04/16/2026
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