Teresa L Leatherland, CST Valid NPI

Individual provider · Surgical Technologist · Lafayette, IN

NPI

1053536110

Type

Individual (Type 1)

Primary specialty

Surgical Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246ZS0410X

License number

102773 (IN)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-16

Last updated

2007-07-08