Leslie A Charles, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Apo, AP. Individual provider (NPI-1).
NPI number1760619308
StatusActive
Last updated in NPPESJun 22, 2009
Details
- NPI
- 1760619308
- Entity type
- Individual (NPI-1)
- Name
- Miss Leslie A Charles
- Credential
- IDMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2009
- Last updated
- Jun 22, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
51 Mdos/SgopfBldg 777 Unit 2060
Apo, AP 96278-2060
Phone 820106612500
Mailing address
51 Mdos/SgopfBldg 777 Unit 2060
Apo, AP 96278-2060
Phone 820106612500
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