Individual
MS. KATERINA YANA LEONTYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1980 SOMERSET BLVD, 202, TROY, MI 48084-3935
(248) 872-3242
Mailing address
1980 SOMERSET BLVD, APT 202, TROY, MI 48084
(248) 872-3242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704229567
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704229567
MI
Other
Enumeration date
08/28/2009
Last updated
04/16/2010
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