Individual
VICTOR ISRAEL DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3057
Mailing address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3057
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2025
Last updated
06/17/2025
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