Individual
LEAKHENA OR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
45 WALKER ST, LOWELL, MA 01854-3115
(978) 996-6688
Mailing address
45 WALKER ST, LOWELL, MA 01854-3115
(978) 996-6688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2263258
MA
Other
Enumeration date
11/29/2009
Last updated
11/29/2009
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