| NPI | 1699876417 |
|---|---|
| Other Name | LESLIE R MASCIARELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2319) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ND 490) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |