| NPI | 1598383929 |
|---|---|
| Former Legal Business Name | CRISTINA LEON DO PA |
| Entity Type | Organization |
| Authorized Contact | CRISTINA LEON Owner 208-251-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |