Individual
LESLEY GORDON STASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6335 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-4568
(804) 730-6833
Mailing address
2515 CORNELL DR, FREDERICKSBURG, VA 22408-8094
(804) 389-8838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213425
VA
183500000X
Pharmacist
RPH026758
GA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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