Individual
JADE LILY ORMROD-LEVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 1ST AVE, CHESTER, VT 05143-8983
(802) 299-9722
Mailing address
406 1ST AVE, CHESTER, VT 05143-8983
(802) 299-9722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
055.0031708
VT
Other
Enumeration date
02/14/2023
Last updated
09/10/2023
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