| NPI | 1184466294 |
|---|---|
| Other Name | TEDDY LEITHEAD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP06367) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |