Individual
MRS. KIM LESLIE WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.M.F.
Contact information
Practice address
501 ALTA VISTA ST, ALTA, IA 51002-1437
(712) 200-2134
Mailing address
501 ALTA VISTA ST, ALTA, IA 51002-1437
(712) 200-2134
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
063487
IA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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