Individual
MS. LESLIE FAYE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
440 S MCHENRY AVE, CRYSTAL LAKE, IL 60014-7147
(815) 356-8773
(815) 356-9100
Mailing address
1670 MULBERRY LN, APT C, ELGIN, IL 60123-7045
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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