Individual
LEO FESILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20975 41ST PL S APT F107, DES MOINES, WA 98198-4276
(206) 487-8472
Mailing address
13116 NE 132ND ST, KIRKLAND, WA 98034-2306
(425) 869-6490
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
12/10/2019
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