Individual
DUILIO ANTONIO LEVERATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21000 CANYON RIDGE DR, LAKE ELSINORE, CA 92532-0418
(909) 969-4824
Mailing address
21000 CANYON RIDGE DR, LAKE ELSINORE, CA 92532-0418
(909) 969-4824
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 138242
CA
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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