Individual
JACQUELINE TERESA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PARK ST, BOWLING GREEN, KY 42101-2347
(270) 781-2415
Mailing address
800 PARK ST, BOWLING GREEN, KY 42101-2347
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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