Provider Demographics
NPI:1689438525
Name:ROMERO, LESLY
Entity Type:Individual
Prefix:
First Name:LESLY
Middle Name:
Last Name:ROMERO
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 1:2105 SW 334TH PL APT S7
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-2861
Mailing Address - Country:US
Mailing Address - Phone:682-404-4954
Mailing Address - Fax:
Practice Address - Street 1:2105 SW 334TH PL APT S7
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2861
Practice Address - Country:US
Practice Address - Phone:682-404-4954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter