Organization
JOEL-LEAN'S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL-LEAN GIBSON (OWNER)
(347) 259-7916
Entity
Organization
Contact information
Practice address
9206 PEABODY ST, MANASSAS, VA 20110-2523
(347) 259-7916
Mailing address
9206 PEABODY ST, MANASSAS, VA 20110-2523
(347) 259-7916
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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