Individual
LESLIE CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 E 115TH ST, LOS ANGELES, CA 90059-2502
(323) 482-2654
Mailing address
1614 E 115TH ST, LOS ANGELES, CA 90059-2502
(323) 482-2654
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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