Individual
DR. LESLEY A NURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1637 3RD AVE, CHULA VISTA, CA 91910
(619) 205-1360
(619) 205-1377
Mailing address
4234 TIM ST, BONITA, CA 91902-2547
(619) 213-8258
(619) 205-1377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A76282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC11992H
MEDI-CAL
—
Enumeration date
08/07/2006
Last updated
07/08/2007
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