Individual
MRS. LESLIE B LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
18330 N 79TH AVE, APT 1021, GLENDALE, AZ 85308-8343
(623) 400-1049
Mailing address
18330 N 79TH AVE, APT 1021, GLENDALE, AZ 85308-8343
(623) 400-1049
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN134348
AZ
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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