Individual
LESLIE ANN HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVC
Contact information
Practice address
2914 COLD SPRINGS RD, SUITE A, PLACERVILLE, CA 95667-4220
(530) 642-1715
Mailing address
3229 FRANCIS AVE, APT. #2, PLACERVILLE, CA 95667-6543
(530) 642-9768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2804
CAS
CA
Enumeration date
03/15/2007
Last updated
07/08/2007
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