Individual
LESLY GISELLE AGUILAR TABORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(619) 754-4955
(619) 785-3296
Mailing address
153 S SIERRA AVE, UNIT 1494, SOLANA BEACH, CA 92075-8061
(619) 754-4955
(619) 785-3296
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A106980
CA
2084N0400X
Neurology Physician
M6998
TX
2084N0400X
Neurology Physician
ME107506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192403701
—
TX
Enumeration date
01/17/2008
Last updated
10/26/2022
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