SearchArizona208100000X

Brenda Lestock, AT/L

NPI 1396162079 · on the registry since 2014 · sole proprietor

Practice

Address
1755 Rustic Timbers Ln Apt 205
Prescott, AZ 86303
Phone
(330) 903-1018

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
2255A2300X
Licence states on file
AZ, OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona