Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 400315001058 | DC |
NPI | 1033592159 |
---|---|
Provider Name | Leslie Leland |
First Address | Washington, DC 20008-2400 |
Second Address | Washington, DC 20009-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2015 |
Last Update Date | 07/07/2015 |