Jackson-Vallade, Leslie
Jackson-Vallade, Leslie is an individual health care provider with primary practice located at 3851 Pentland Hills Dr , Upper Marlboro MD 20774-9242. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Jackson-Vallade, Leslie can be contacted via phone (443) 519-9388.Contact Information
Primary practice address
3851 Pentland Hills Dr
Upper Marlboro MD 20774-9242
Phone: (443) 519-9388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | DX5990 | Maryland |
Profile Details
| NPI number | 1457051898 |
|---|---|
| LBN Legal business name | Jackson-Vallade, Leslie |
| Credentials | LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2023 |
| Last updated | May 20th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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