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Individual

ERICA CATHERINE DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1950 3RD ST, LA VERNE, CA 91750-4401
(909) 593-3511
Mailing address
5838 FAYETTE ST, LOS ANGELES, CA 90042-2608

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/28/2021
Last updated
10/28/2021
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