Individual
MS. LESLIE ANN BROUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
469 N SANDUSKY ST, DELAWARE, OH 43015-1254
(740) 803-1177
Mailing address
469 N SANDUSKY ST, DELAWARE, OH 43015-1254
(740) 803-1177
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000167
OH
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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