Individual
LEONDRA NICOLE EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12750 JEFFERSON AVE, NEWPORT NEWS, VA 23602-4318
(757) 272-9981
Mailing address
520 DARTMOOR DR APT 101, NEWPORT NEWS, VA 23608-8041
(757) 272-9981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218168
VA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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