Individual
MRS. LESLIE A WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2340 NORTH AVE APT 3C, BRIDGEPORT, CT 06604-2346
(203) 368-9243
(203) 334-0175
Mailing address
2340 NORTH AVE APT 3C, BRIDGEPORT, CT 06604-2346
(203) 368-9243
(203) 334-0175
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
024115
CT
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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