Individual
JERICA LEIGH CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
293 INDEPENDENCE BLVD STE 400, VIRGINIA BEACH, VA 23462-5461
(757) 645-7732
Mailing address
3503 LONDON COMPANY WAY STE 400, WILLIAMSBURG, VA 23185-7932
(757) 645-7732
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
RBT-21-156114
VA
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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