Individual
LEA SOLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8625
Mailing address
3302 BLUE HILL AVE, GALLUP, NM 87301-6919
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN60737565
WA
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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