Individual
GIRLIE TACA DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
721672
CA
363LF0000X
Family Nurse Practitioner
NP95033260
CA
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
Update your record
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