Individual
LEANNA NAN HIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP15056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP15056
NP LICENSE
CA
Enumeration date
06/20/2007
Last updated
12/01/2021
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