Individual
LESLIE AJL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-1350
Mailing address
310 HAMMOND POND PKWY UNIT 203, CHESTNUT HILL, MA 02467-2662
(617) 792-2938
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
138930
MA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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