Individual
JERRALD LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 N EUCLID AVE, DAYTON, OH 45406-5918
(937) 361-1010
Mailing address
1402 N EUCLID AVE, DAYTON, OH 45406-5918
(937) 361-1010
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
About Stedi
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