Individual
MRS. LEISHA KALB PURYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12018 W BROAD ST, HENRICO, VA 23233-7796
(804) 287-2022
Mailing address
12018 W BROAD ST STE 102, HENRICO, VA 23233-7796
(180) 428-7202
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
0001269696
VA
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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