Individual
WILLIAM MICHAEL LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2617 39TH ST NW APT 1, WASHINGTON, DC 20007-1219
(208) 520-3696
Mailing address
2617 39TH ST NW APT 1, WASHINGTON, DC 20007-1219
(208) 520-3696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1045097
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA1045097
DC
Other
Enumeration date
07/13/2021
Last updated
07/15/2022
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