Individual
LESLIE HAIDEZ DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2841 HARTLAND RD STE 403, FALLS CHURCH, VA 22043-3500
(571) 620-2777
Mailing address
2500 N VAN DORN ST APT 927, ALEXANDRIA, VA 22302-1606
(571) 620-2777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016698
VA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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