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Individual

LESLIE ANNE STOREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7777 N. INGRAM AVE., FRESNO, CA 93711-6281
(559) 472-7546
(559) 385-7733
Mailing address
4388 N WILSON AVE, FRESNO, CA 93704-3628
(559) 476-0515

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A81742
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A81742
CA
207NS0135X
Procedural Dermatology Physician
A81742
CA

Other

Enumeration date
09/06/2006
Last updated
11/05/2019
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