Individual
MRS. LESLY GHIGLINO DUETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8421
Mailing address
23367 FRIAR ST, WOODLAND HILLS, CA 91367-1432
(818) 300-2589
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009294
CA
Other
Enumeration date
04/08/2019
Last updated
03/31/2020
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