Individual
IMELDA MORALES LEABRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 BRODERICK ST, SAN FRANCISCO, CA 94115-3304
(415) 292-1760
Mailing address
2010 VALLEJO ST, SAN FRANCISCO, CA 94123-4868
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN200355
CA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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