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1306488531
SHANTEL KIMBERLY DE LEON
SANTA MONICA, CA
NPI
1306488531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 694951)
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2019-10-09
Last Update Date
2019-10-23
Business Address
SHANTEL KIMBERLY DE LEON lvn
2644 30TH ST STE 100
SANTA MONICA, CA 90405-3051
Phone number: 310-314-6200
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Mailing Address
SHANTEL KIMBERLY DE LEON lvn
2644 30TH ST
SANTA MONICA, CA 90405-3060
Phone number: 310-314-6200
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