JESSICA KINYEN LI EASON

ROANOKE, VA
NPI1235699661
Former NameJESSICA KINYEN LI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101278496)
Additional Taxonomies207Q00000X Family Medicine
(Licence: SC  LL82587)
Enumeration Date2019-03-21
Last Update Date2023-06-09
Business Address
JESSICA KINYEN LI EASON
2001 CRYSTAL SPRING AVE SW STE 302
ROANOKE, VA 24014-2465
Phone number: 540-981-7653
Mailing Address
JESSICA KINYEN LI EASON
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: