JACQUELINE E LEO

WICHITA, KS
NPI1912554387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-78842-061)
Enumeration Date2019-08-21
Last Update Date2019-08-21
Business Address
JACQUELINE E LEO
9390 E CENTRAL AVE STE 101
WICHITA, KS 67206-2565
Phone number: 316-733-4747
Mailing Address
JACQUELINE E LEO
1402 S GOEBEL CIR
WICHITA, KS 67207-4006
Phone number: