Provider Demographics
NPI:1235447418
Name:LEAL, NAOMI (LVN)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:LEAL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-4416
Mailing Address - Country:US
Mailing Address - Phone:805-217-8705
Mailing Address - Fax:
Practice Address - Street 1:2241 LAUREL VALLEY PL
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-7714
Practice Address - Country:US
Practice Address - Phone:805-988-9012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN188480164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse