Individual
DR. MERVI HANNELE LEYENDECKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
926 BROADWAY ST, QUINCY, IL 62301-2748
(217) 222-6888
(217) 222-6975
Mailing address
926 BROADWAY ST, QUINCY, IL 62301-2748
(217) 222-6888
(217) 222-6975
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008462
IL
Other
Enumeration date
09/17/2006
Last updated
12/14/2007
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