Individual
LESLIE JACKSON-VALLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
3851 PENTLAND HILLS DR, UPPER MARLBORO, MD 20774-9242
(443) 519-9388
Mailing address
3851 PENTLAND HILLS DR, UPPER MARLBORO, MD 20774-9242
(443) 519-9388
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX5990
MD
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
03/06/2023
Last updated
05/20/2024
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