Individual
LEISA KATHLEEN ENSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7851 WALKER ST STE 206, LA PALMA, CA 90623-1746
(714) 523-4327
Mailing address
7851 WALKER ST STE 206, LA PALMA, CA 90623-1746
(714) 523-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1155
CA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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