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Bridget Leake
NPI 1093201881 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1618 N 27th St
Boise, ID 83702 - Phone
- (208) 720-0043
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho