Individual
MS. LESLIE KIM PERRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, LAC
Contact information
Practice address
312 W LEUDA ST, FORT WORTH, TX 76104-3306
(817) 882-9750
Mailing address
312 W LEUDA ST, FORT WORTH, TX 76104-3306
(817) 882-9750
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0414
TX
183500000X
Pharmacist
25110
TX
Other
Enumeration date
03/24/2011
Last updated
05/23/2016
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