Individual
LESLEY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1158
Mailing address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1158
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2092
AL
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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