Individual
LESLEY CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
1263 CLARKSON CT, ELLISVILLE, MO 63011-2256
(314) 435-8961
Mailing address
1263 CLARKSON CT, ELLISVILLE, MO 63011-2256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041254255
IL
163W00000X
Registered Nurse
Primary
2003029099
MO
Other
Enumeration date
06/13/2010
Last updated
06/13/2010
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