BRIDGET MARY LEAKE

BOISE, ID
NPI1093201881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  58997)
Enumeration Date2018-07-05
Last Update Date2018-07-05
Business Address
BRIDGET MARY LEAKE
1618 N 27TH ST
BOISE, ID 83702-0115
Phone number: 208-720-0043
Mailing Address
BRIDGET MARY LEAKE
1618 N 27TH ST
BOISE, ID 83702-0115
Phone number: 208-720-0043
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