Individual
LUZEDEL CARYL M DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7200 BANCROFT AVE STE 133, OAKLAND, CA 94605-2480
(510) 553-8500
Mailing address
7200 BANCROFT AVE STE 133, OAKLAND, CA 94605-2480
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
750591
CA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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