Individual
EVELYN LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 KEMPTON ST, SPRING VALLEY, CA 91977-5810
(619) 552-2063
Mailing address
13045 WIMBERLY SQ UNIT 140, SAN DIEGO, CA 92128-4035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21521
CA
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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