DOMINIQUE ROSA LESLIE

SAN FRANCISCO, CA
NPI1215533799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
(Licence: CA  390200000X)
Enumeration Date2020-12-09
Last Update Date2020-12-11
Business Address
DOMINIQUE ROSA LESLIE
835 HYDE ST
SAN FRANCISCO, CA 94109-5927
Phone number: 628-235-4366
Mailing Address
DOMINIQUE ROSA LESLIE
1049 HOWARD ST
SAN FRANCISCO, CA 94103-2822
Phone number: 628-235-4366
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