Individual
MARY LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.421334
IL
367A00000X
Advanced Practice Midwife
Primary
209.016167
IL
Other
Enumeration date
12/11/2017
Last updated
12/24/2019
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