LESLIE BLANCO CUSI

GLENDALE, CA
NPI1760997936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95008145)
Enumeration Date2017-12-09
Last Update Date2018-05-22
Business Address
LESLIE BLANCO CUSI FNP
1509 WILSON TER
GLENDALE, CA 91206
Phone number: 818-863-4000
Mailing Address
LESLIE BLANCO CUSI FNP
1509 WILSON TER
GLENDALE, CA 91206-4007
Phone number: 818-863-4000
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