Most Relevant Information
Provider Data
| NPI Number: | 1003415472 |
| Provider Name: | RYANLEO FLORES NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95013892 |
Most Important Dates
| Enumeration Date: | 10/18/2020 |
| Last Updated: | 10/18/2020 |
Provider Practice Location
2017 1ST AVENUE
SUITE 301
SAN DIEGO
CA
92101
Practice Location Phone/Fax
| Phone: | 6198815035 |
| Fax: |
Provider Mailing Location
PO BOX 86465
SAN DIEGO
CA
921386465
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |