Individual
MS. LESLIE MICHELLE BLAKENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
529 S MAPLE AVE., LOS ANGELES, CA 90013
(213) 430-6700
Mailing address
529 S MAPLE AVE., LOS ANGELES, CA 90013
(213) 430-6700
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
29159
CA
Other
Enumeration date
01/27/2007
Last updated
08/15/2013
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