Individual
JOSEPH DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCBTMB, OMT, CMRMP
Contact information
Practice address
13216 MAPLE CREEK LN, CENTREVILLE, VA 20120-6105
(571) 839-2866
Mailing address
13216 MAPLE CREEK LN, CENTREVILLE, VA 20120-6105
(571) 839-2866
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0019003618
VA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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