Individual
EMELINA MARTA LEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM/LM
Contact information
Practice address
159 S FAIR OAKS AVE, MADISON, WI 53704-5820
(608) 843-3204
(608) 571-0021
Mailing address
1417 DREWRY LN, MADISON, WI 53704-2101
(608) 843-3204
(608) 571-0021
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
328-49
WI
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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