Individual
ERICA ROSE LEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
130 NW 19TH ST, SUITE C, NEWPORT, OR 97365-2305
(541) 265-8455
Mailing address
130 NW 19TH ST, SUITE C, NEWPORT, OR 97365-2305
(541) 265-8455
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01262
OR
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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