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Soledad Justine Leos

Nurse's Aide in Elyria, OH. Individual provider (NPI-1).

NPI number1396480554
StatusActive
Last updated in NPPESMay 2, 2022

Details

NPI
1396480554
Entity type
Individual (NPI-1)
Name
Soledad Justine Leos
Sex
Female
Sole proprietor
Yes
Enumeration date
May 2, 2022
Certification date
May 2, 2022
Last updated
May 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide402160170419OHYes

Practice location

151 Winthrop Dr
Elyria, OH 44035

Phone 440-506-5785

Mailing address

151 Winthrop Dr
Elyria, OH 44035

Phone 440-506-5785

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