LESLIE CAPULONG

SOUTH BEND, IN
NPI1346877644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  325281)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  01096917A)
Enumeration Date2020-03-25
Last Update Date2025-07-17
Business Address
Dr. LESLIE CAPULONG MD
415 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1234
Mailing Address
Dr. LESLIE CAPULONG MD
5776 GRAPE RD STE 51 PMB 190
MISHAWAKA, IN 46545-8460
Phone number: 347-504-0301