Individual
MS. LESLIE LYN BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1550 VANN AVE, EVANSVILLE, IN 47714-3359
(812) 482-1366
(812) 469-7438
Mailing address
1550 VANN AVE, EVANSVILLE, IN 47714-3359
(812) 482-1366
(812) 469-7438
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67000087A
IN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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