Individual
MS. MARY E LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
2012 S VICTORIA AVE, LOS ANGELES, CA 90016-1814
(626) 590-6461
Mailing address
2012 S VICTORIA AVE, LOS ANGELES, CA 90016-1814
(626) 590-6461
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
CA
133NN1002X
Nutrition Education Nutritionist
Primary
—
CA
Other
Enumeration date
06/07/2007
Last updated
09/11/2025
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