Individual
THOMAS W LELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 321-5708
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 321-5708
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00042127
WA
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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