Individual
LESLIE BAEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
Mailing address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006020
PA
Other
Enumeration date
05/08/2008
Last updated
07/28/2016
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