Individual
JO MARIE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1830 E MONUMENT ST, ROOM 455, BALTIMORE, MD 21287-0020
(410) 955-5580
Mailing address
2515 BOSTON ST, APT. 501, BALTIMORE, MD 21224-4739
(443) 310-0033
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0000255
MD
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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