Individual
KRYSTLE AGUIRRE LEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 942-8799
Mailing address
2730 UNIVERSITY BLVD W, WEST SUITE 104, WHEATON, MD 20902-1905
(304) 237-4987
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0081928
MD
Other
Enumeration date
04/04/2012
Last updated
07/12/2016
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