Individual
LEENAH HISHAM A KHAYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2592 N SANTIAGO BLVD, ORANGE, CA 92867-1862
(855) 434-7763
Mailing address
2592 N SANTIAGO BLVD, ORANGE, CA 92867-1862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012801
CA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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