JUSTIN LEAHY CRNP-PMH LL

WOODBRIDGE, VA
NPI1316585508
Entity TypeOrganization
Authorized ContactJUSTIN P LEAHY
Owner
410-562-2867
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2019-12-18
Last Update Date2019-12-18
Business Address
JUSTIN LEAHY CRNP-PMH LL
4353 ENSBROOK LN
WOODBRIDGE, VA 22193-2652
Phone number: 410-562-2867
Mailing Address
JUSTIN LEAHY CRNP-PMH LL
1812 E REGENTS PARK RD
CROFTON, MD 21114-2528
Phone number: 410-562-2867
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