Individual
ELLIOTT LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
34617 11TH PL S STE 201, FEDERAL WAY, WA 98003-8706
(253) 313-1031
Mailing address
34617 11TH PL S STE 201, FEDERAL WAY, WA 98003-8706
(253) 313-1031
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW61127543
WA
Other
Enumeration date
06/25/2020
Last updated
12/20/2022
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