Individual
MRS. LESLIE WELDON GRUNDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2161
(757) 953-0853
Mailing address
1521 CLEARWATER LN, CHESAPEAKE, VA 23322-3996
(757) 953-2161
(757) 953-0583
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165468
VA
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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