Individual
LAURA LESLIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1349 CAMINO DEL MAR STE B, DEL MAR, CA 92014-2553
(858) 997-4100
Mailing address
1613 FERN ST, SAN DIEGO, CA 92102-1433
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND940
CA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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