Individual
RICHARD OWAIN LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1618 TERRACE DR, SCHERERVILLE, IN 46375-1413
(219) 713-2269
Mailing address
1618 TERRACE DR, SCHERERVILLE, IN 46375-1413
(219) 713-2269
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28244580A
IN
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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