Individual
LEAH I. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1313 BROADWAY STE 200, TACOMA, WA 98402-3400
(253) 301-6490
(253) 301-6531
Mailing address
PO BOX 5299, TACOMA, WA 98415-0299
(253) 301-6490
(253) 301-6531
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
RN00120454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9641473
—
WA
Enumeration date
01/03/2007
Last updated
07/05/2024
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