Individual
LESLIE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9281 HAWKEYE DR, JACKSONVILLE, FL 32221-3602
(901) 647-9120
Mailing address
9281 HAWKEYE DR, JACKSONVILLE, FL 32221-3602
(901) 647-9120
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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