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1053069021
LEONA A FALLAS
LOS ANGELES, CA
NPI
1053069021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
LEONA A FALLAS
8831 VENICE BLVD
LOS ANGELES, CA 90034-3223
Phone number: 310-204-5200
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Mailing Address
LEONA A FALLAS
10116 EMPYREAN WAY APT 202
LOS ANGELES, CA 90067-3807
Phone number: 310-658-9865
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