Individual
JOERAN ANNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5100
Mailing address
4931 LIPPINGHAM DR, CHESTER, VA 23831-6546
(804) 931-3010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001266442
VA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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