Individual
JENNIFER S LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
2845 FARRELL CRES, OWENSBORO, KY 42303-1393
(270) 926-3297
Mailing address
2845 FARRELL CRES, OWENSBORO, KY 42303-1393
(270) 926-3297
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA138
KY
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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