Individual
ADDISON LEIGH BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1912
(757) 446-5600
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1912
(757) 446-5600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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