Jefferson, Leslie Larae

Jefferson, Leslie Larae is an sole proprietor health care provider with primary practice located at 6113 Gothic Ln , Bowie MD 20720-5304. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Jefferson, Leslie Larae can be contacted via phone (301) 221-5571.

Contact Information

Primary practice address
6113 Gothic Ln Bowie MD 20720-5304
Phone: (301) 221-5571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DX3760 Maryland

Profile Details

NPI number 1225429822
LBN Legal business name Jefferson, Leslie Larae
Credentials CNS, LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2015
Last updated Feb 18th, 2015 - about 10 years 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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