Individual
LESLIE CREBASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6440
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
131143
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2012
Last updated
12/28/2015
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