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1790523561
LESLIE MARIELY ROACH
FONTANA, CA
NPI
1790523561
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Former Name
LESLIE MARIELY LOPEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 740284)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
LESLIE MARIELY ROACH LVN
14677 MERRILL AVE
FONTANA, CA 92335-4219
Phone number: 951-643-2340
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Mailing Address
LESLIE MARIELY ROACH LVN
14677 MERRILL AVE
FONTANA, CA 92335-4219
Phone number:
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