Individual
DESIREE JAYNE DOMINGO LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
501 6TH ST, TAFT, CA 93268-2704
(661) 763-5131
(661) 763-5137
Mailing address
501 6TH ST, TAFT, CA 93268-2704
(661) 763-5131
(661) 763-5137
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020150
CA
363LF0000X
Family Nurse Practitioner
2021104508
CA
363LF0000X
Family Nurse Practitioner
F11210766
CA
Other
Enumeration date
12/08/2021
Last updated
11/26/2025
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