Individual
MS. LESLIE S RAIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101C WOODMARK ST, ORANGE, VA 22960-1246
(540) 672-0793
(540) 672-3531
Mailing address
101C WOODMARK ST, ORANGE, VA 22960-1246
(540) 672-0793
(540) 672-3531
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
0024165444
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007794410
—
VA
05
—
12957318
—
VA
Enumeration date
06/28/2005
Last updated
03/06/2019
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