| NPI | 1205727179 |
|---|---|
| Former Name | LEA DUCLOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: VT 026.0137728) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |