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Individual
DOMINICK LEE LEYVA
Active
Individual
DOMINICK LEE LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CM II, QMHA II
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
11/25/2014
Last updated
07/09/2024
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