Individual
LESLIE HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6354 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1247
(304) 733-1626
Mailing address
309 MAY DR APT 17, HUNTINGTON, WV 25704-9066
(304) 412-3301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
108619
WV
164X00000X
Licensed Vocational Nurse
32393
WV
Other
Enumeration date
04/13/2022
Last updated
08/30/2024
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