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Individual

MIGUEL RYAN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 E LEIGH ST, RICHMOND, VA 23298
(804) 828-7247
Mailing address
900 E LEIGH ST, RICHMOND, VA 23298
(804) 828-7247

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61464163
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/28/2023
Last updated
12/04/2025
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