Individual
LEISA KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 BIG TIMBER DR, JOLIET, IL 60431-4878
(779) 702-1625
Mailing address
602 BIG TIMBER DR, JOLIET, IL 60431-4878
(779) 702-1625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041450001
IL
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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