Individual
MRS. LESLIE S COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
1484 GULF TO BAY BLVD UNIT 4, CLEARWATER, FL 33755
(813) 530-6773
Mailing address
1484 GULF TO BAY BLVD UNIT 4, CLEARWATER, FL 33755
(813) 530-6773
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1181442
FL
Other
Enumeration date
01/05/2016
Last updated
04/11/2019
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