Individual
AVADAWN GISELE LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3028 MIARS GRN, CHESAPEAKE, VA 23321-4267
(910) 853-4006
Mailing address
3028 MIARS GRN, CHESAPEAKE, VA 23321-4267
(910) 853-4006
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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