Individual
LESLEY AUGUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2679
(928) 283-2761
Mailing address
167 MAIN STREET, P.O. BOX 600, TUBA CITY, AZ 86045
(928) 283-2501
(928) 283-2761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
265764
NC
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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