Leslie Divall
Leslie Divall is a Midwife in Provo, Utah. Licensed in Utah. Registered with an NPI since 2016.
- Licensed in
- UT
- In the registry since
- 2016
Practice location Address checks out
589 S State StProvo, UT 84606-5056
Phone: (801) 429-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Midwife (primary) | Taxonomy 176B00000X · Licence 5611104-4402 (UT) |
|---|
Record details
| NPI number | 1639539521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 4, 2016 |
| Last updated in NPPES | April 15, 2020 |
| Certification date | April 15, 2020 |
| Mailing address | 589 South State Street, Provo, UT 84606 |
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