Individual
LEAH CHAMBLIN VESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S TRADD ST, STATESVILLE, NC 28677-5859
(828) 655-2930
Mailing address
1020 BRIARCLIFF RD, YADKINVILLE, NC 27055-6870
(336) 831-3453
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
306708
NC
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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