Individual
RAY JOANNE LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCFE ADMINISTRATOR
Contact information
Practice address
15617 RED OAK WAY, VICTORVILLE, CA 92394-3228
(760) 241-9075
(760) 241-9075
Mailing address
15617 RED OAK WAY, VICTORVILLE, CA 92394-3228
(760) 241-9075
(760) 241-9075
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
361800212
CA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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