Individual
MR. RENE LEBLANC III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAPRC I
Contact information
Practice address
5655 S 400 W, BERNE, IN 46711-9519
(260) 301-4501
Mailing address
PO BOX 222, BERNE, IN 46711-0222
(260) 301-4501
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CAPRC1-5822
IN
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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