Individual
LESLIE RACHEL SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
423 LOMITAS LN, SANTA ROSA, CA 95404-2158
(831) 252-1598
Mailing address
423 LOMITAS LN, SANTA ROSA, CA 95404-2158
(831) 252-1598
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
509
CA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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