Individual
MS. LESLIE ANN KOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
9309 OLD GEORGETOWN RD, BETHESDA, MD 20814
(240) 631-1568
Mailing address
12528 CARRY BACK PL, NORTH POTOMA, MD 20878
(240) 631-1568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003812
MD
Other
Enumeration date
12/24/2008
Last updated
01/08/2009
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