Individual
JIAYE LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
4618 RIVER MILL CT, GLEN ALLEN, VA 23060-3606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001274704
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189255
VA
Other
Enumeration date
06/28/2023
Last updated
02/07/2024
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