Individual
MRS. LESLIE ANN HACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
7830 CLAIREMONT MESA BLVD, SUITE 209, SAN DIEGO, CA 92111-1619
(858) 279-5124
Mailing address
5691 FONTAINE ST, SAN DIEGO, CA 92120-1825
(619) 507-5161
(619) 265-0905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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