Individual
LELAH LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4620
Mailing address
3 MARINITA AVE, SAN RAFAEL, CA 94901-3430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95026347
CA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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