Individual
LESLIE CAROLYN MICHOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 661-3070
Mailing address
876 W SAMALAYUCA DR, TUCSON, AZ 85704-3220
(520) 661-3070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220264
AZ
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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