Individual
TAMARA LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43335 KALIFORNSKY BEACH RD STE 36, SOLDOTNA, AK 99669-8280
(907) 714-6670
(907) 262-6294
Mailing address
43335 KALIFORNSKY BEACH RD STE 36, SOLDOTNA, AK 99669-8280
(907) 714-6670
(907) 262-6294
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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