Individual
LESLIE MARIE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA/MA
Contact information
Practice address
1030 26TH ST, NEWPORT NEWS, VA 23607-4742
(757) 602-7242
Mailing address
1030 26TH ST, NEWPORT NEWS, VA 23607-4742
(757) 602-7242
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1401126593
VA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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