Michelle Marisol Diaz Leon

NPI #1568150225 in Imperial Beach, California

Provider Information

NPI Number: 1568150225
Entity Type: Individual
Name: Michelle Marisol Diaz Leon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Apr 28, 2023
Last Updated: Apr 28, 2023

Practice Location

Address: 1168 CYPRESS AVE
City: Imperial Beach
State: California
ZIP Code: 91932-1664
Phone: (551) 262-3331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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