GAVIN MICHAEL DE LEON

SAN JOSE, CA
NPI1255113338
Other NameROXANNE MICHAEL DE LEON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
GAVIN MICHAEL DE LEON
290 N 2ND ST
SAN JOSE, CA 95112-4143
Phone number: 408-418-3232
Mailing Address
GAVIN MICHAEL DE LEON
2440 PETALUMA AVE
LONG BEACH, CA 90815-2424
Phone number: 562-981-4403