Individual
MS. GLORIA DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-4515
(310) 763-8909
Mailing address
837 FEATHER AVE, LA PUENTE, CA 91746-1227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14725
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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