Leslie Johnson

NPI #1417629700 in Peoria, Arizona

Provider Information

NPI Number: 1417629700
Entity Type: Individual
Name: Leslie Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Oct 4, 2021
Last Updated: Oct 4, 2021

Practice Location

Address: 10852 W BRONCO TRL
City: Peoria
State: Arizona
ZIP Code: 85383-5777
Phone: (602) 705-8373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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