Individual
MARY LECKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 TREE BLVD, SUITE 114, ST AUGUSTINE, FL 32084-5720
(904) 770-2333
Mailing address
1108 S STATE ST UNIT 108, BUNNELL, FL 32110-7402
(386) 313-5911
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5200
FL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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