Individual
KAYLA LEATHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-8116
Mailing address
5490 DENTON DRIVE CUT OFF APT 2304, DALLAS, TX 75235-7645
(504) 330-1027
Taxonomy
Speciality
Code
Description
License number
State
1835E0208X
Emergency Medicine Pharmacist
Primary
72679
TX
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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