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Marvin Leandicho De Leon, LPN
Licensed Practical Nurse in Goodyear, Arizona
NPI 1194956086

Marvin Leandicho De Leon is a Licensed Practical Nurse based in Goodyear, AZ. Marvin Leandicho De Leon practices in Goodyear, AZ and has the professional credentials of LPN. The NPI Number for Marvin Leandicho De Leon is 1194956086 and holds a License No. LP038083 (Arizona).

The current practice location address for Marvin Leandicho De Leon is 2369 N 142Nd Ave, Goodyear, AZ and can be reached out via phone at 623-203-5500.

Location: 2369 N 142Nd Ave, Goodyear, AZ, 85395-1657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194956086
Provider Name
Marvin Leandicho De Leon
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
2369 N 142Nd Ave, Goodyear, AZ, 85395-1657
Phone Number
623-203-5500
Fax Number
Provider Enumeration Date
07/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2369 N 142Nd Ave
City
Goodyear
State
Arizona
Zip
85395-1657
Phone Number
623-203-5500
Fax Number
person
Provider Business Mailing Address Details
Address
2369 N 142Nd Ave
City
Goodyear
State
Arizona
Zip
85395-1657
Phone Number
623-203-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP038083 (Arizona)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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