Individual
LESLIE GWEN MCEWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 626-8763
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
502078
CA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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