Healthcare Provider Details

I. General information

NPI: 1083521405
Provider Name (Legal Business Name): LEAH JO ANGEL PARAMEDICAL TATTOO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 WESTCHESTER SQ N
BILLINGS MT
59105-1633
US

IV. Provider business mailing address

329 WESTCHESTER SQ N
BILLINGS MT
59105-1633
US

V. Phone/Fax

Practice location:
  • Phone: 406-561-0653
  • Fax:
Mailing address:
  • Phone: 406-561-0653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: