Individual
MELISSA LYNN LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12790 DENNIS ST, PAULDING, OH 45879-8860
(419) 769-9411
Mailing address
12790 DENNIS ST, PAULDING, OH 45879-8860
(419) 769-9411
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376J00000X
—
OH
Enumeration date
02/01/2021
Last updated
02/01/2021
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