Individual
REBECCA LYNNE LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
4926 ZION RD, JACKSON, MI 49201-9527
(517) 581-8302
Mailing address
4926 ZION RD, JACKSON, MI 49201-9527
(517) 581-8302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704277865
MI
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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