Individual
MRS. LESLIE LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
520 SW RAMSEY AVE STE 205, GRANTS PASS, OR 97527-5863
(541) 472-7120
(541) 472-7123
Mailing address
2620 E BARNETT RD STE H, MEDFORD, OR 97504-8383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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