CARISSA LEONARD

PETERSBURG, VA
NPI1265150973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110008692)
Enumeration Date2022-08-18
Last Update Date2022-08-18
Business Address
CARISSA LEONARD
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805-9274
Phone number: 804-765-5000
Mailing Address
CARISSA LEONARD
3306 O ST
RICHMOND, VA 23223-7642
Phone number: 864-907-0005
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