MS. Jody J Leisholmn, PA-C
NPI #1922196468 in Metlakatla, Alaska
Provider Information
- NPI Number
- 1922196468
- Entity Type
- Individual
- Name
- MS. Jody J Leisholmn, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 563 BRENDIBLE ST.
- City
- Metlakatla
- State
- Alaska
- ZIP Code
- 99926
- Phone
- (907) 886-4741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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