Provider Demographics
NPI:1316769482
Name:DELEON, DANELLY CARINA
Entity type:Individual
Prefix:
First Name:DANELLY
Middle Name:CARINA
Last Name:DELEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 BARNT AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-2619
Mailing Address - Country:US
Mailing Address - Phone:609-608-8342
Mailing Address - Fax:
Practice Address - Street 1:59 BARNT AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-2619
Practice Address - Country:US
Practice Address - Phone:609-608-8342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula