Individual
LESLIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W APPLE ST, DAYTON, OH 45402-2617
(937) 222-5555
Mailing address
120 W APPLE ST, DAYTON, OH 45402-2617
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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