Individual
MISS MELODY J LEIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
23799 27TH PL W, BRIER, WA 98036-8477
(206) 291-5777
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10093355
WA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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