Mary Katherine Leos
Mary Katherine Leos is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Atlanta, GAFax: (404) 829-1312
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10697 (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1821609447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2020 |
| Last updated in NPPES | April 4, 2022 |
| Certification date | April 4, 2022 |
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