LESA BROCK

LEES SUMMIT, MO
NPI1154775898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MO  091729)
Enumeration Date2016-04-19
Last Update Date2016-04-19
Business Address
-- LESA BROCK
927 NE COLUMBUS ST
LEES SUMMIT, MO 64086-2977
Phone number: 816-347-3270
Mailing Address
-- LESA BROCK
927 NE COLUMBUS ST
LEES SUMMIT, MO 64086-2977
Phone number: 816-347-3270