| NPI | 1538826730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETISHA E LEACH Owner/CEO/Cnp 614-809-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |