Individual
DR. LESLIE RIDEOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, FNP
Contact information
Practice address
800 WASHINGTON ST # 344, BOSTON, MA 02111-1552
(617) 636-1380
Mailing address
800 WASHINGTON ST # 344, BOSTON, MA 02111-1552
(617) 636-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205705
MA
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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