Individual
LEIGH-ANNA BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N MAIN ST, SUFFOLK, VA 23434-4321
(757) 925-0580
Mailing address
3121 DUNWORKEN DR, CHESAPEAKE, VA 23321-4914
(757) 842-2318
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230028633
VA
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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