Individual
MRS. MARY ALICE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. N.
Contact information
Practice address
116 PLEASANT ST, PERU, NY 12972-2821
(518) 643-6206
Mailing address
PO BOX 68, PERU, NY 12972-0068
(518) 643-6206
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
407364
NY
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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