Individual
MRS. MIKAELA ANGELA VISTAN LEANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
27141 HIDAWAY AVE STE 106, CANYON COUNTRY, CA 91351-4135
(661) 252-8469
Mailing address
27141 HIDAWAY AVE STE 106, CANYON COUNTRY, CA 91351-4135
(661) 252-8469
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95032723
CA
Other
Enumeration date
04/12/2025
Last updated
06/03/2025
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