Individual
LESLIE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 LOST LAKES WAY, POWDER SPRINGS, GA 30127-6031
(210) 639-8191
Mailing address
2808 LOST LAKES WAY, POWDER SPRINGS, GA 30127-6031
(210) 639-8191
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PHCP011778
GA
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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