Leslie Ward

NPI #1366153173 in Marion, Illinois

Provider Information

NPI Number
1366153173
Entity Type
Individual
Name
Leslie Ward
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Dec 13, 2022
Last Updated
Dec 13, 2022

Practice Location

Address
3403 HEARTLAND ST
City
Marion
ZIP Code
62959-6393
Phone
(618) 997-5311

Specialties & Taxonomy Codes

Specialty
Technician, Other

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