Individual
EMILIANO LEAL
Active
Individual
EMILIANO LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209020412
IL
363LF0000X
Family Nurse Practitioner
Primary
95025035
CA
Other
Enumeration date
01/19/2020
Last updated
08/01/2023
Update your record
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