Individual
LESLEY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
911 ADELE AVE, BREMERTON, WA 98312-3521
(360) 377-2900
(360) 405-1677
Mailing address
911 ADELE AVE, BREMERTON, WA 98312-3521
(360) 377-2900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010182
WA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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