Individual
ISABEL C ESCALANTE DE LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-3961
Mailing address
5358 W FALLBROOK AVE, FRESNO, CA 93722-2364
(559) 271-2732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12606
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C52929
STATE LICENSE
CA
Enumeration date
02/26/2007
Last updated
01/07/2008
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