Individual
MR. LEROY WHITEKILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 BUSTER RD, TOPPENISH, WA 98948-9792
(509) 865-1788
(509) 865-5375
Mailing address
401 BUSTER RD, TOPPENISH, WA 98948-9792
(509) 865-1788
(509) 865-5375
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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