Individual
CAROL H LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
982 E COLUMBIA AVE STE 201, COLVILLE, WA 99114
(509) 685-5000
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00111106
WA
163WP2201X
Ambulatory Care Registered Nurse
RN00111106
WA
Other
Enumeration date
02/07/2007
Last updated
03/22/2019
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