Leslie, Mary E

Leslie, Mary E is an sole proprietor health care provider with primary practice located at 2012 S Victoria Ave , Los Angeles CA 90016-1814. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Leslie, Mary E can be contacted via phone (626) 590-6461.

Contact Information

Primary practice address
2012 S Victoria Ave Los Angeles CA 90016-1814
Phone: (626) 590-6461
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X California
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X California

Profile Details

NPI number 1760685663
LBN Legal business name Leslie, Mary E
Credentials NUTRITIONIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Jul 8th, 2007 - about 17 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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