Individual
LESLIE RACHEL MCRAE-MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN,CGRN
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 599-7309
Mailing address
250 BAY ST, APOPKA, FL 32712-3636
(407) 884-6684
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
2007492
FL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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