Individual
LESLIE DECOURCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 MONROE ST, NEWPORT, KY 41071-2078
(530) 899-2255
Mailing address
521 MONROE ST, NEWPORT, KY 41071-2078
(530) 899-2255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
575281
CA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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