Individual provider · Type 1 NPI

Jacob Fredrick Leslie Ii, MD

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1790364503 Active

Practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Call (202) 444-5022 Map

Fax (202) 444-7987

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790364503

Jacob Fredrick Leslie Ii, MD's National Provider Identifier is 1790364503, issued on Apr 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Apr 7, 2021.