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LUZ ALIZA DE LEON

>> Rehabilitation Practitioner >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1568597797

Individual Registrant:
 LUZ ALIZA DE LEON 
Gender: F
Sole Proprietor

Location and contact information for practice:
5420 N FIGUEROA ST  HIGHLAND PARK, CA 90042-4118 US
Tel: 323-999-2404  Fax: --

Contact information for business:
PO BOX 2608  MONTEBELLO, CA 90640-9388 US
Tel: 323-316-7562  Fax: --

Registration Information:
NPI: 1568597797
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225400000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Practitioner

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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