Individual
ISABEL MORENO LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4TH & INNER LOOP, FT IRWIN, CA 92310-5109
(760) 380-3185
Mailing address
4TH & INNER LOOP, FT IRWIN, CA 92310-5109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704243793
MI
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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