Individual
LESLIE JOANN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING ASSISTANT
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9921379
PA
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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