Individual
LESLIE ANNE CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09137300
NJ
207R00000X
Internal Medicine Physician
M-2049
GU
207R00000X
Internal Medicine Physician
MD60607762
WA
208M00000X
Hospitalist Physician
Primary
M-2049
GU
Other
Enumeration date
06/30/2009
Last updated
05/15/2019
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