Provider Demographics
NPI:1487954533
Name:VALENTIN LEEKS, ANGELINA
Entity type:Individual
Prefix:MS
First Name:ANGELINA
Middle Name:
Last Name:VALENTIN LEEKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:
Other - Last Name:VALENTIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1923 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-2610
Mailing Address - Country:US
Mailing Address - Phone:925-765-7159
Mailing Address - Fax:
Practice Address - Street 1:1923 BIRCH AVE
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-2610
Practice Address - Country:US
Practice Address - Phone:925-765-7159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula