Individual
LESLIE ANN MACKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
WARNER AVE AND COLLEGE DR, CHICO STATE UNIVERSITY STUDENT HEALTH SERVICE, CHICO, CA 95929-0777
(530) 898-5241
(530) 898-4057
Mailing address
WARNER AVE & COLLEGE DR, CHICO STATE UNIVERSITY - STUDENT HEALTH SERVICE, CHICO, CA 95929-0777
(530) 898-5241
(530) 898-4057
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN159936
CA
Other
Enumeration date
02/28/2007
Last updated
03/18/2011
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