Individual
ERICA LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
(304) 534-7810
Mailing address
1325 LOCUST AVE, FAIRMONT, WV 26554-1435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112671
WV
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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