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Individual

LESLIE FUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1513 S GRAND AVE STE 220&250, LOS ANGELES, CA 90015-3070
(415) 963-2968
Mailing address
1830 41ST AVE, SAN FRANCISCO, CA 94122-4004

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
802414
NY
367A00000X
Advanced Practice Midwife
Primary
236344
CA

Other

Enumeration date
11/23/2022
Last updated
12/22/2023
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