Individual
LEONETTA JULES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 MERCHANT LN STE 115, HAMPTON, VA 23666-2696
(757) 656-0088
Mailing address
221 LOCH CIR, HAMPTON, VA 23669-5528
(757) 656-0088
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
834307717
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834307717
—
VA
Enumeration date
04/05/2022
Last updated
04/05/2022
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