Everardo Leon

NPI #1770211666 in San Quentin, California

Provider Information

NPI Number: 1770211666
Entity Type: Individual
Name: Everardo Leon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 10, 2022
Last Updated: Aug 18, 2022

Practice Location

Address: 100 MAIN ST
City: San Quentin
State: California
ZIP Code: 94964
Phone: (415) 250-7289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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