Individual
SHANNON ROSE LESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1450 2ND AVE SW, ROCHESTER, MN 55902-2113
(608) 475-0629
Mailing address
7661 JACKPOT AVE, SPARTA, WI 54656-3813
(608) 475-0629
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
222198
WI
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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