Individual
DR. LEYARDIA LENORE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
42 WEBB ST., FRIDAY HARBOR, WA 98250
(360) 378-6374
Mailing address
353 CROSS RD, LOPEZ ISLAND, WA 98261-8372
(360) 468-3714
(360) 468-3814
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT00000388
WA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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