Leisa Kathleen Ensworth, M.A.
Audiologist in La Palma, CA. Individual provider (NPI-1).
NPI number1104202159
StatusActive
Last updated in NPPESJul 31, 2015
Details
- NPI
- 1104202159
- Entity type
- Individual (NPI-1)
- Name
- Leisa Kathleen Ensworth
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2015
- Last updated
- Jul 31, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | AU1155 | CA | Yes |
Practice location
7851 Walker St Ste 206La Palma, CA 90623-1746
Phone 714-523-4327
Mailing address
7851 Walker St Ste 206La Palma, CA 90623-1746
Phone 714-523-4327
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