Individual
LEIGH TAYLOR BERTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 N 5TH STREET, PHOENIX, AZ 85004
(602) 298-4016
Mailing address
3719 E COLUMBINE DR, PHOENIX, AZ 85032
(602) 620-0184
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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