Individual
BREANNA LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
400 1ST CAPITOL DR STE 409, SAINT CHARLES, MO 63301-2886
(314) 390-1049
Mailing address
601 SE MELODY LN STE 101, LEES SUMMIT, MO 64063-4804
(816) 219-1977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2022049142
MO
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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