Individual
MRS. LEEANNE BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
423 E LOGAN ST, MOBERLY, MO 65270-2222
(660) 263-6643
Mailing address
423 EAST LOGAN, MOBERLY, MO 65270
(660) 263-6643
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003614
MO
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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