Individual
ISABELLA DEOMAMPO LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2056 CALLISTO TER, CHULA VISTA, CA 91915-2780
(619) 361-4610
Mailing address
2056 CALLISTO TER, CHULA VISTA, CA 91915-2780
(619) 361-4610
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01206703
CA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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