Individual
LESLIE SUE MATTORANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-6337
Mailing address
13260 WARD LN, COLORADO SPRINGS, CO 80908-3450
(719) 930-2336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16407
CO
Other
Enumeration date
11/25/2011
Last updated
03/01/2022
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