GINNO DE LEON

SURPRISE, AZ
NPI1528895182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AZ  314334)
Enumeration Date2024-09-17
Last Update Date2024-09-17
Business Address
GINNO DE LEON PMHNP-BC
14894 W VALENTINE ST
SURPRISE, AZ 85379-4277
Phone number: 480-278-5842
Mailing Address
GINNO DE LEON PMHNP-BC
14894 W VALENTINE ST
SURPRISE, AZ 85379-4277
Phone number: 480-278-5842
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