Individual
MRS. LEAH JEDLICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10382 AUGUSTA DR, SAUK CENTRE, MN 56378-4864
(320) 351-8422
Mailing address
26588 183RD AVE, RICHMOND, MN 56368-8404
(320) 333-7429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
80795
MN
Other
Enumeration date
02/10/2009
Last updated
09/30/2016
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