Individual
DR. MONIQUE LILLIAN MARIE LEVESQUE-HARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6320 CONSTITUTION DRIVE, FORT WAYNE, IN 46804
(260) 432-7339
Mailing address
6320 CONSTITUTION DRIVE, FORT WAYNE, IN 46804
(260) 432-7339
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
08001638
IN
111NN1001X
Nutrition Chiropractor
3054
WI
111NN1001X
Nutrition Chiropractor
3169
MN
Other
Enumeration date
09/20/2006
Last updated
09/17/2012
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