Individual
MICHAEL LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 BRIDGE ST STE 301, DEDHAM, MA 02026-1798
(617) 230-9905
Mailing address
59 NOTTINGHILL RD, BRIGHTON, MA 02135-4031
(617) 230-9905
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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