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Individual
MS. LESLIE G MENCHETTI
Active
Individual
MS. LESLIE G MENCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
080771
MO
363LF0000X
Family Nurse Practitioner
13-43718-072
KS
363LF0000X
Family Nurse Practitioner
Primary
22577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22577
CA NP LICENSE
CA
Enumeration date
06/08/2006
Last updated
06/05/2020
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