Individual
MRS. KATIE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-6826
Mailing address
56299 FAIRCHILD RD, MACOMB, MI 48042-1515
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704261282
MI
Other
Enumeration date
06/22/2010
Last updated
06/16/2011
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