Provider Demographics
NPI:1497383269
Name:TUMBIOLO, LEAH CATE
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:CATE
Last Name:TUMBIOLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:TAMAQUA
Mailing Address - State:PA
Mailing Address - Zip Code:18252-5531
Mailing Address - Country:US
Mailing Address - Phone:570-386-3508
Mailing Address - Fax:
Practice Address - Street 1:963 DAIRY RD
Practice Address - Street 2:
Practice Address - City:TAMAQUA
Practice Address - State:PA
Practice Address - Zip Code:18252-5531
Practice Address - Country:US
Practice Address - Phone:570-386-3508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-29
Last Update Date:2020-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula