Individual
LESLEE JOYCE BLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
901 E BRADY ST, SUITE 103, BUTLER, PA 16001
(724) 282-1627
(724) 282-4810
Mailing address
901 E BRADY ST, SUITE 103, BUTLER, PA 16001
(724) 282-1627
(724) 282-4810
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
SP0078900
PA
Other
Enumeration date
09/07/2006
Last updated
07/30/2024
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