Provider Demographics
NPI:1497637813
Name:LEON, CATHY LEE (RN)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:LEE
Last Name:LEON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 MARSHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-3804
Mailing Address - Country:US
Mailing Address - Phone:719-375-9786
Mailing Address - Fax:
Practice Address - Street 1:2635 MARSHFIELD RD
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-3804
Practice Address - Country:US
Practice Address - Phone:719-375-9786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397211163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator