Individual
KENYATTA K LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 DOGWOOD DRIVE LOOP, OCALA, FL 34472-5609
(352) 553-6204
Mailing address
45 DOGWOOD DRIVE LOOP, OCALA, FL 34472-5609
(352) 553-6204
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
236118
FL
376J00000X
Homemaker
236118
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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