IndividualActive
Leslie Johnson
NPI 1417629700 · Driver · Peoria, AZ
Provider details
- NPI number
- 1417629700
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
10852 W Bronco Trl
Peoria, AZ 85383-5777
Phone: (602) 705-8373
Approximate (ZIP-level) locationGet directions
Mailing address
10852 W Bronco Trl
Peoria, AZ 85383-5777
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.