Individual
VANESSA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
2351 WILLOWBROOK LN, PERRIS, CA 92571-3519
(951) 743-7092
Mailing address
2351 WILLOWBROOK LN, PERRIS, CA 92571-3519
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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