MARVIN LEANDICHO DE LEON

GOODYEAR, AZ
NPI1194956086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP038083)
Enumeration Date2009-07-27
Last Update Date2009-07-27
Business Address
-- MARVIN LEANDICHO DE LEON LPN
2369 N 142ND AVE
GOODYEAR, AZ 85395-1657
Phone number: 623-203-5500
Mailing Address
-- MARVIN LEANDICHO DE LEON LPN
2369 N 142ND AVE
GOODYEAR, AZ 85395-1657
Phone number: 623-203-5500
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