Individual
PATRICIA DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 FRANKLIN ST., LYNN, MA 01902
(781) 593-2727
Mailing address
89 LAIGHTON ST, LYNN, MA 01902-4022
(781) 244-5076
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922174226
—
MA
Enumeration date
04/23/2018
Last updated
04/23/2018
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