Individual
LEENA MAHENDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 RIO HILL CTR, CHARLOTTESVILLE, VA 22901-1141
(434) 459-6011
Mailing address
1824 RIO HILL CTR, CHARLOTTESVILLE, VA 22901-1141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002827
VA
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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