Individual
MRS. EDEN BETH LEYANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22517 BREAKWATER WAY, SANTA CLARITA, CA 91350-5724
(320) 259-1191
Mailing address
22517 BREAKWATER WAY, SANTA CLARITA, CA 91350-5724
(320) 259-1191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
538434
CA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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