Individual
ESSIE Y. MCKINNON-LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
31 BEACH ST, SACO, ME 04072-2810
(207) 282-1500
(207) 282-6606
Mailing address
78 ATLANTIC PLACE, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1180
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434701399
—
ME
Enumeration date
08/01/2008
Last updated
05/04/2015
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