Individual
MS. KATHY ANN LEITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6521 WESTGATE CIR NW, CANTON, OH 44718-1290
(330) 704-4808
Mailing address
6521 WESTGATE CIR NW, CANTON, OH 44718-1290
(330) 704-4808
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
RU023219
OH
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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