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Individual

MR. NATHANIEL BRANDON LEAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC.

Contact information

Practice address
16821 SE MCGILLIVRAY BLVD STE 110, VANCOUVER, WA 98683-0401
(360) 953-8740
Mailing address
16821 SE MCGILLIVRAY BLVD STE 110, VANCOUVER, WA 98683-0401
(360) 953-8740

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60071465
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC60071465
WASHINGTON STATE ACUPUNCTURE LICENSE
WA
Enumeration date
02/17/2009
Last updated
09/14/2019
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