Individual
LESLIE JO HAZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. NP
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-6000
(619) 740-4886
Mailing address
1057 ALBION ST, SAN DIEGO, CA 92106-2456
(619) 823-7562
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
18999
CA
363LA2200X
Adult Health Nurse Practitioner
NP18999
CA
Other
Enumeration date
11/19/2009
Last updated
03/13/2017
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