Individual
DEVINE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 ORCUTT GAREY RD, SANTA MARIA, CA 93454-9629
(282) 680-5937
Mailing address
3840 ORCUTT GAREY RD, SANTA MARIA, CA 93454-9629
(282) 680-5937
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
10/16/2023
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