Individual
BIANCA LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 WISCONSIN AVE NW STE 300, WASHINGTON, DC 20016-4606
(202) 465-4364
Mailing address
2760 SAND LENDS DRIVE, ODENTON, MD 21113
(786) 400-3227
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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