Individual
LEON ENSALADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
042-0010521
VT
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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