Organization
HHSA
Active
Organization
HHSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER ROSE LEAL (PHN)
(619) 401-3674
Entity
Organization
Contact information
Practice address
367 N MAGNOLIA AVE, EL CAJON, CA 92020-3995
(619) 401-3674
Mailing address
367 N MAGNOLIA AVE, EL CAJON, CA 92020-3995
(619) 401-3674
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
847723
CA
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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