Individual
MS. NANCY LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1963 N E ST, SAN BERNARDINO, CA 92405-3919
(909) 708-8158
Mailing address
1963 N E ST, SAN BERNARDINO, CA 92405-3919
(909) 708-8158
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20711
CA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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