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Individual

LEQUITA ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3320 VIRGINIA BEACH BLVD STE 8B, VIRGINIA BEACH, VA 23452-5621
(757) 270-2924
Mailing address
3320 VIRGINIA BEACH BLVD STE 8B, VIRGINIA BEACH, VA 23452-5621
(757) 270-2924

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-212486
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4568234912
VA
Enumeration date
02/25/2021
Last updated
02/25/2021
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