NPI 1225429822

Leslie Larae Jefferson, CNSLDN

Practitioner Nutritionist Bowie, MD

Practice location

Address: 6113 Gothic Ln, Bowie, MD 20720-5304
Phone: (301) 221-5571

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence DX3760 (MD)

Other Nutritionist providers in Maryland →

Registry record

NPI: 1225429822
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2015
Record last updated: 18 Feb 2015

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.