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Individual

LEANNE DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
127 S. SAN VICENTE, A3600, LOS ANGELES, CA 90048
(424) 315-4514
Mailing address
127 S. SAN VICENTE, AHSP A3600, LOS ANGELES, CA 90048
(424) 315-4514

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
596937
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95001022
CA

Other

Enumeration date
11/18/2014
Last updated
11/18/2014
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