Individual
LISA ANNETTE DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 N 1ST ST STE 123, FRESNO, CA 93726-6818
(559) 512-6802
Mailing address
3636 N 1ST ST STE 123, FRESNO, CA 93726-6818
(559) 512-6802
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-VYQGWR
CA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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