Fabiola De Leon
Technician in Dakota City, NE. Individual provider (NPI-1).
NPI number1063123750
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1063123750
- Entity type
- Individual (NPI-1)
- Name
- Fabiola De Leon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
1801 Locust StDakota City, NE 68731-5068
Phone 402-987-3363
Mailing address
210 W 39th StSouth Sioux City, NE 68776-3740
Phone 402-494-2440
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