Individual
DARLENE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13757 ASPEN LEAF LN, CORONA, CA 92880-0721
(951) 777-8775
(951) 220-7178
Mailing address
19069 VAN BUREN BLVD, 114-116, RIVERSIDE, CA 92508-9169
(951) 777-8775
(951) 220-7178
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
4722559913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472259913
SUBSTANCE ABUSE FACILITY
—
Enumeration date
05/15/2015
Last updated
05/15/2015
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