Individual
MISS LEAH MICHELLE KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
214 GLOVER ST N, TWISP, WA 98856
(509) 449-6368
Mailing address
PO BOX 282, TWISP, WA 98856-0282
(509) 449-6368
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00015169
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162426
LABOR AND IND PIN
WA
Enumeration date
04/18/2007
Last updated
09/16/2024
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