Individual
LEGAITHER MICHELLE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 LOUISE AVE, MARTINSVILLE, VA 24112-9219
(276) 340-9753
Mailing address
123 LOUISE AVE, MARTINSVILLE, VA 24112-9219
(276) 340-9753
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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