Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 95014230 | CA |
NPI | 1033746359 |
---|---|
Provider Name | Leslie Catherine Fletcher |
First Address | Torrance, CA 90501-2517 |
Second Address | Torrance, CA 90501-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2020 |
Last Update Date | 25/03/2020 |