Individual
PATRICIA DE LEON
Active
Individual
PATRICIA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS14152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018827000
—
FL
05
—
177593401
—
TX
05
—
177593402
—
TX
05
—
177593403
—
TX
05
—
177593405
—
TX
Enumeration date
05/19/2006
Last updated
08/27/2020
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