Leslie Schafferman IDMT

NPI 1104150838 - Military Health Care Provider - 1710I1003X

NPI Details
NPI 1104150838
Gender Female
Enumeration Date 09/29/2009
Last Updated 09/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
811 GRIER DR
SUITE B
LAS VEGAS NV, 89119-3704, US
Phone (800) 779-0526
Fax
Business Location
PO BOX 19070
DAF ATTN: LESLIE SCHAFFERMAN
LAS VEGAS NV, 89132, US
Phone (800) 779-0526
Fax
Toxanomy
Taxonomy Code 1710I1003X
License State
License Number
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According to our database, Ms. Leslie Schafferman IDMT NPI is 1104150838, taxonomy code is 1710I1003X Leslie Schafferman IDMT physically located at 811 Grier Dr, Las Vegas NV, 89119-3704. NPI Number Leslie Schafferman IDMT has the Individual type.

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1104150838 NPI number is provided on an as is basis without warranty of any kind. 1104150838 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Schafferman IDMT are for informational purposes only.