Individual
DIANA T LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4035 E CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94552-4840
(510) 247-1272
(510) 881-1334
Mailing address
4035 E CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94552-4840
(510) 247-1272
(510) 881-1334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34167
CHIROPRACTIC LICENSE
CA
Enumeration date
02/13/2019
Last updated
02/13/2019
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