Individual
LEAH C HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPN
Contact information
Practice address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1300
Mailing address
2616 21ST AVE SW, PUYALLUP, WA 98371-2049
(253) 961-1047
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN608004224
WA
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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