Individual
LEEA HABEDANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 N 2ND AVE APT 16, WAUSAU, WI 54401-2685
(707) 321-4613
Mailing address
1221 N 2ND AVE APT 16, WAUSAU, WI 54401-2685
(707) 321-4613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
247392
WI
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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