Individual
LEESA R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8083
(757) 683-4297
(757) 683-5253
Mailing address
9919 REECE AVE, PENSACOLA, FL 32526-4547
(520) 982-3881
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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