Provider Demographics
NPI:1316170707
Name:HOOKER, LESLIEGH TATIANA
Entity type:Individual
Prefix:
First Name:LESLIEGH
Middle Name:TATIANA
Last Name:HOOKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 YORK ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3419
Mailing Address - Country:US
Mailing Address - Phone:415-200-7073
Mailing Address - Fax:
Practice Address - Street 1:1043 YORK ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3419
Practice Address - Country:US
Practice Address - Phone:415-200-7073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program