CRYSTAL IVAHNA LEACH

BOWIE, MD
NPI1891115994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MD  D0085741)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: ID  M-17056)
208100000X Physical Medicine & Rehabilitation
(Licence: GA  95216)
208100000X Physical Medicine & Rehabilitation
(Licence: DC  MD046990)
Enumeration Date2014-04-16
Last Update Date2023-05-24
Business Address
CRYSTAL IVAHNA LEACH M.D.
17351 MELFORD BLVD
BOWIE, MD 20715-4457
Phone number: 240-548-1300
Mailing Address
CRYSTAL IVAHNA LEACH M.D.
14640 GOVERNOR SPRIGG PL
UPPER MARLBORO, MD 20772-5910
Phone number: 504-915-3461