Provider Demographics
NPI:1285331223
Name:MEZA, LESLIE GUADALUPE
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:GUADALUPE
Last Name:MEZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KANI BIOR
Other - Middle Name:
Other - Last Name:DOULA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOULA
Mailing Address - Street 1:4968 AUBURN DR APT 6
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-3680
Mailing Address - Country:US
Mailing Address - Phone:619-864-0077
Mailing Address - Fax:
Practice Address - Street 1:4968 AUBURN DR APT 6
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-3680
Practice Address - Country:US
Practice Address - Phone:619-864-0077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula