Individual
MR. CHRISTOPHER LEON SPENCER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 673-5241
Mailing address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 673-5241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002060844
VA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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