Individual
LEANNE J KOLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
204 N CENTER ST, MESA, AZ 85201-6629
(480) 962-0868
(480) 962-7010
Mailing address
204 N CENTER ST, MESA, AZ 85201-6629
(480) 962-0868
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN119753
AZ
Other
Enumeration date
02/05/2010
Last updated
08/01/2016
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