Individual
LEAH GRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1961 PREMIER DR STE 340, MANKATO, MN 56001-6839
(507) 345-8591
Mailing address
1961 PREMIER DR STE 340, MANKATO, MN 56001-6839
(507) 345-8591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R179857-3
MN
163W00000X
Registered Nurse
RN170179
AZ
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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