Individual
KIMBERLY ANGELICA LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 PEDDLER DR, WINDSOR, CT 06095-1748
(860) 573-8527
Mailing address
15 PEDDLER DR, WINDSOR, CT 06095-1748
(860) 573-8527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN243601
MA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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