Individual
MRS. ISIS J LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15122 SW 72ND ST, MIAMI, FL 33193-3228
(305) 383-3848
(305) 383-7601
Mailing address
5221 SW 162ND PL, MIAMI, FL 33185-5046
(305) 582-2818
(305) 383-7601
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT13349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRT13349
RADIOLOGY TECHNOLOGY
FL
Enumeration date
07/08/2011
Last updated
07/08/2011
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