Individual
JENNIFER LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1213 E CLAY ST, RICHMOND, VA 23298-5071
(800) 762-6161
Mailing address
203 HULL ST APT 4A, RICHMOND, VA 23224-4275
(919) 946-5253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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