Individual
MRS. LESLIE MINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 REEDER RD, NEWBERRY, SC 29108-9075
(803) 940-0668
Mailing address
1112 REEDER RD, NEWBERRY, SC 29108-9075
(803) 940-0668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219825
SC
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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