Individual
LESLIE MATTHEWS CASSERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
415 N SYCAMORE ST, SUITE 200, SANTA ANA, CA 92701-4607
(714) 836-5447
(714) 836-1855
Mailing address
415 N SYCAMORE ST, SUITE 200, SANTA ANA, CA 92701-4607
(714) 836-5447
(714) 836-1855
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
306621
CA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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