Individual
LESLIE BERNALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7000
(703) 502-7006
Mailing address
3703 BRICES FORD CT, FAIRFAX, VA 22033-2429
(703) 622-7186
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0001210888
VA
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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