Individual
MRS. LESLIE DENOGEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-3373
Mailing address
9718 ALIWIN ST, DOWNEY, CA 90240-2503
(562) 299-2311
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95009413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95009413
NP CERTIFICATE NUMBER
CA
01
—
NPF95009413
NP FURNISHING NUMBER
CA
Enumeration date
10/12/2018
Last updated
10/12/2018
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