Most Relevant Information
Provider Data
NPI Number: | 1003336090 |
Provider Name: | LESHA BLOUNT |
Entity Type: | Individual |
Taxonomy Code: | 251B00000X |
Specialty: | Case Management |
License Number: |
Most Important Dates
Enumeration Date: | 06/21/2017 |
Last Updated: | 07/21/2022 |
Provider Practice Location
11467 SILK CARNATION WAY
ROYAL PALM BEACH
FL
334114200
Practice Location Phone/Fax
Phone: | 7705501084 |
Fax: |
Provider Mailing Location
1639 FORUM PL STE 7
WEST PALM BEACH
FL
334012330
Provider Mailing Phone/Fax
Phone: | 7705501084 |
Fax: |