Individual
DR. GEORGE LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2301 COLLINS DR, LAS VEGAS, NM 87701-4826
(505) 425-9362
Mailing address
PO BOX 165, SERAFINA, NM 87569-0165
(505) 429-9217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0395
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM000069
—
NM
Enumeration date
01/24/2007
Last updated
07/09/2007
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