Individual
LESLEE BOUTTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
922 S COWLEY ST STE 5, SPOKANE, WA 99202-1263
(509) 951-8421
Mailing address
922 S COWLEY ST STE 5, SPOKANE, WA 99202-1263
(509) 951-8421
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA19305
WA
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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