Individual
MICAH ANTHONY LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7706 TOUTLE CT, PASCO, WA 99301-6876
(360) 550-8470
Mailing address
7706 TOUTLE CT, PASCO, WA 99301-6876
(360) 550-8470
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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