Individual
LEANNA WAALKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1000 GREG KRUSCHEK, NOME, AK 99762
(208) 301-8133
Mailing address
GENERAL DELIVERY, 309 6TH APT. B, NOME, AK 99762-9999
(208) 301-8133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60652632
WA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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