Individual
LESLIE JAYNE' SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2018 W 80TH ST, LOS ANGELES, CA 90047-2610
(323) 333-6448
Mailing address
2851 W 120TH ST STE E574, HAWTHORNE, CA 90250-3395
(323) 333-6448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95022160
CA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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