Doctor Name: | MRS. LESLIE CAROL DE LA FLOR |
NPI Number: | 1679765267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 412018 |
Business Practice Address: | 25592 The Old Rd Stevenson Ranch, CA - 913811705 |
Business Phone Number: | 6612881405 |
Business Fax Number: | 6617052090 |
Mailing Address: | 25592 The Old Rd, STEVENSON RANCH |
State: | CA |
Postal Code: | 913811705 |
Phone Number: | 6612881405 |
Fax Number: | 6617052090 |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 412018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |