Individual
DELLA LEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6401 YORK RD, THIRD FLOOR, BALTIMORE, MD 21212-2152
(410) 887-2789
Mailing address
3501 YOUNG RD, MANCHESTER, MD 21102-2352
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R080049
MD
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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