Individual
LESLEY TODD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
120 BANJO LN, CENTREVILLE, MD 21617-1002
(410) 758-1787
(410) 758-1789
Mailing address
29466 PINTAIL DR, SUITE 9, EASTON, MD 21601-9323
(410) 770-5140
(410) 770-5141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R064855
MD
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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