Individual
DANIELA MOURA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
915 S CATALINA AVE STE B, REDONDO BEACH, CA 90277-4795
(310) 543-2323
Mailing address
2401 VIA RIVERA, PALOS VERDES ESTATES, CA 90274-2727
(310) 702-0346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13595
CA
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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