Individual
NYEISHA KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 WADLOW ST, EMPORIA, VA 23847-2610
(434) 532-3817
Mailing address
206 WADLOW ST, EMPORIA, VA 23847-2610
(434) 532-3817
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T69026686
VA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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