Individual
MRS. ERIN LEIGH DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 W RIDGE RD, WYTHEVILLE, VA 24382
(276) 228-8686
Mailing address
375 W RIDGE ROAD, WYTHEVILLE, VA 24382
(276) 288-8686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024178717
VA
Other
Enumeration date
12/03/2019
Last updated
01/29/2020
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