LEAH MARIE PETERSON HAILE

GARDEN CITY, ID
NPI1538873351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  67975)
Enumeration Date2023-01-06
Last Update Date2023-01-06
Business Address
LEAH MARIE PETERSON HAILE PMHNP-BC
5860 ENSIGN AVE
GARDEN CITY, ID 83714-1240
Phone number: 616-821-8427
Mailing Address
LEAH MARIE PETERSON HAILE PMHNP-BC
5860 ENSIGN AVE
GARDEN CITY, ID 83714-1240
Phone number: