Leathia Sharee Flores
Student in an Organized Health Care Education/Training Program in Waterloo, NY. Individual provider (NPI-1).
NPI number1982115994
StatusActive
Last updated in NPPESOct 17, 2017
Details
- NPI
- 1982115994
- Entity type
- Individual (NPI-1)
- Name
- Leathia Sharee Flores
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2017
- Last updated
- Oct 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
31 Thurber DrWaterloo, NY 13165-1665
Phone 315-539-1980
Mailing address
31 Thurber DrWaterloo, NY 13165-1665
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