Individual
MR. NATHANIEL LEACH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
L0000881
MD
2278C0205X
Critical Care Certified Respiratory Therapist
L0000881
MD
Other
Enumeration date
08/03/2012
Last updated
10/08/2015
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