Individual
DIANA PRISCILA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E PINE KNOLL DR BUILDING 66, OFFICE 209, FLAGSTAFF, AZ 86011-0001
(928) 523-5122
(928) 523-6195
Mailing address
PO BOX 15065, FLAGSTAFF, AZ 86011-0001
(928) 523-5122
(928) 523-6195
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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