Individual
LESLIE ANN VALLEJO JABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC
Contact information
Practice address
4155 S BOWERY PL, ONTARIO, CA 91761-3913
(626) 475-5880
Mailing address
4155 S BOWERY PL, ONTARIO, CA 91761-3913
(626) 475-5880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95033570
CA
Other
Enumeration date
01/15/2025
Last updated
05/02/2025
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