Individual
LESLEE SHOLOMSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 HEATHER VALLEY RD, HOLLAND, PA 18966-2633
(267) 939-8874
Mailing address
65 HEATHER VALLEY RD, HOLLAND, PA 18966-2633
(267) 939-8874
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007361
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN007361
LICENSE
—
Enumeration date
03/25/2021
Last updated
03/25/2021
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