Individual
ROSE-MARIE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(602) 402-9421
Mailing address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(602) 402-9421
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
316378
AZ
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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