Individual
REBECCA A LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1404 CENTRAL AVE S, SUITE 112, KENT, WA 98032-7433
(206) 205-1940
(206) 205-5499
Mailing address
15606 258TH PL SE, ISSAQUAH, WA 98027-8257
(206) 205-1940
(206) 205-5499
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000657
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8270118
—
WA
Enumeration date
11/28/2006
Last updated
07/09/2007
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