Individual
IVETTE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 NEW JERSEY AVE SE STE 845, WASHINGTON, DC 20003-3338
(202) 545-6980
Mailing address
9727 MOUNT PISGAH RD APT 902, SILVER SPRING, MD 20903-2026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP37143
MD
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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