NPI 1124578596

Leska Trading Company, INC

Organisation Point of Service Takoma Park, MD

Practice location

Address: 1101 University Blvd E, Takoma Park, MD 20912-7444
Phone: (301) 439-1796
Mailing address: 1101 University Blvd, Takoma Park, MD 20912

Authorised official

Name: Saul Jose Peraza
Title: Director
Phone: (301) 605-3508

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence TA2284 (MD)

Other Point of Service providers in Maryland →

Registry record

NPI: 1124578596
Entity type: Organization
NPI issued: 10 Oct 2016
Record last updated: 10 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.