Doctor Name: | MS. NOELLE ANGELICA LEON |
NPI Number: | 1427321322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 22799 Desoto Street Grand Terrace, CA - 92313 |
Business Phone Number: | 9097834401 |
Business Fax Number: | |
Mailing Address: | 22799 Desoto Street, GRAND TERRACE |
State: | CA |
Postal Code: | 92313 |
Phone Number: | 9097834401 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2012 |
NPI Last Update Date: | 02/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |