Individual
RICHARD DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 ASHBY AVE, BERKELEY, CA 94705-1803
(650) 888-0216
Mailing address
2124 ASHBY AVE, BERKELEY, CA 94705-1803
(650) 888-0216
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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