Individual
MR. EDWARD RAYMOND LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.; B.S.N ; M.S.
Contact information
Practice address
5289 EISENHOWER RD, COLUMBUS, OH 43229-5016
(614) 560-9237
Mailing address
5289 EISENHOWER RD, COLUMBUS, OH 43229-5016
(614) 560-9237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
311778
OH
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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