Individual
LEAH KIWON MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 MONTICELLO AVE, NORFOLK, VA 23510-2613
(757) 515-5656
Mailing address
4663 MERRIMAC LN, VIRGINIA BEACH, VA 23455-6367
(757) 589-9484
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
926852
VA
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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