Individual
DR. RONNIE SUE LEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 W FRONT ST, PORT ANGELES, WA 98362-2609
(650) 212-7756
(650) 212-7754
Mailing address
240 W FRONT ST, PORT ANGELES, WA 98362-2609
(360) 452-2895
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G035168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1282709
FED. TAX ID
—
Enumeration date
03/31/2007
Last updated
01/13/2020
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