Individual
MR. JESUS FERNANDO LEON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
16360 ROSCOE BLVD FL 2, VAN NUYS, CA 91406-1219
(818) 901-4830
Mailing address
16360 ROSCOE BLVD 2ND FLOOR, VAN NUYS, CA 91406
(818) 901-4830
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN167800
CA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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