Individual
LESLEY WILDES-CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21261 TAMMIE DR, LAKE VIEW, AL 35111-1149
(205) 616-1882
Mailing address
21261 TAMMIE DR, LAKE VIEW, AL 35111-1149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-148554
AL
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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