Individual
DEANNA L. LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
134 INDUSTRIAL PARK RD, JANE LEW, WV 26378-9785
(304) 884-7880
(304) 884-8902
Mailing address
134 INDUSTRIAL PARK RD, P. O. BOX 880, JANE LEW, WV 26378-9785
(304) 884-7880
(304) 884-8902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01464
WV
363A00000X
Physician Assistant
Primary
477
WV
Other
Enumeration date
09/30/2009
Last updated
07/15/2013
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