Individual
JESSE LEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
2525 E 11TH ST, CHEYENNE, WY 82001-5496
(307) 275-1901
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
39725
WY
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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