Linda Leatherman

NPI #1962953083 in Rockford, Michigan

Provider Information

NPI Number: 1962953083
Entity Type: Individual
Name: Linda Leatherman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 24, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 1360 SHAW CT NE
City: Rockford
State: Michigan
ZIP Code: 49341-9787
Phone: (616) 450-5376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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