Individual
LESLIE WALLACE BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
2399 ATLANTIC HWY, LINCOLNVILLE, ME 04849-5322
(207) 236-4851
Mailing address
PO BOX 452, OWLS HEAD, ME 04854-0452
(207) 691-2140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CNP191092
ME
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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