Individual
JENNIFER STOUT-LEYDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3425 MIDDLE RD, BETTENDORF, IA 52722-3404
(563) 332-6049
Mailing address
3425 MIDDLE RD, BETTENDORF, IA 52722-3404
(563) 332-6049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18615
IA
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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