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Individual

ALICIA DIANE LEYDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PR

Contact information

Practice address
408 TENNESSEE AVE, CHARLESTON, WV 25302-2338
(304) 549-5158
Mailing address
500 WEIMER AVE, SAINT ALBANS, WV 25177-3653
(304) 549-5158

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-949
WV

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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