Individual
MRS. MICHELLE MARIANNA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP
Contact information
Practice address
1441 EASTLAKE AVE, LOS ANGELES, CA 90089-3012
(323) 865-3000
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18449
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
18449
CA
Other
Enumeration date
09/30/2008
Last updated
10/15/2024
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