Provider Demographics
NPI:1235430240
Name:SILVER, LESLIE RACHEL (LAC DIPL OM)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:RACHEL
Last Name:SILVER
Suffix:
Gender:F
Credentials:LAC DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2801
Mailing Address - Country:US
Mailing Address - Phone:707-363-1384
Mailing Address - Fax:
Practice Address - Street 1:1920 LERNHART ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-4442
Practice Address - Country:US
Practice Address - Phone:707-363-1384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-07
Last Update Date:2010-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12347171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist