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Individual
MRS. LEILANI DE JESUS LAW
Active
Individual
MRS. LEILANI DE JESUS LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
622010
TX
363L00000X
Nurse Practitioner
Primary
AP108056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1198368-02
—
TX
Enumeration date
06/04/2006
Last updated
11/27/2019
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