Individual
LESLIE ANNE NEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 W 200 S APT 319, PROVO, UT 84601-5917
(209) 581-8859
Mailing address
136 W 200 S APT 319, PROVO, UT 84601-5917
(209) 581-8859
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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