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Individual

DR. JENNIFER W LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD 60212127
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417165382
WA
05
500635060
OR
Enumeration date
05/21/2007
Last updated
04/29/2025
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