Individual
MR. NATHANIEL LEACH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
10 NORTH GREEN ST., BALTIMORE, MD 21201
(410) 605-7000
Mailing address
1406 BANKERT TERRACE, ABINGDON, MD 21009
(443) 500-3476
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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