Individual
LEANN E SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25440 S GOUGAR RD, MANHATTAN, IL 60442-9511
(815) 478-3307
Mailing address
25440 S GOUGAR RD, MANHATTAN, IL 60442-9511
(815) 478-6093
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041304129
IL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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