Individual
ELENA KLAIR LEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 RIVERVIEW AVE STE 400, NORFOLK, VA 23510-1065
(757) 252-1700
Mailing address
716 ONTARIO ST, HAVRE DE GRACE, MD 21078-2730
(443) 987-8715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011056
VA
Other
Enumeration date
06/12/2025
Last updated
08/01/2025
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