Individual
MRS. MEREDITH LOU VAN LEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
840 RAILROAD ST, BROOKINGS, OR 97415
(541) 412-1152
Mailing address
PO BOX 634, BROOKINGS, OR 97415-0003
(541) 412-1152
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
226461
CA
164X00000X
Licensed Vocational Nurse
VN226461
CA
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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