NPI 1689247017

Kamille Leak

Practitioner Adult Companion Wheaton, IL

Practice location

Address: 111 N County Farm Rd, Wheaton, IL 60187-3977
Phone: (207) 840-6049

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1689247017
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2021
Record last updated: 22 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.