Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LETEISHA MECHI'ELL GORDON
Active Sole ProprietorLETEISHA MECHI'ELL GORDON is a 171WV0202X healthcare provider located in RICHMOND, Virginia. NPI 1528657905 is currently active in the NPPES registry. Verify at CMS.
171WV0202X · RICHMOND, VA
Registration Details
- NPI Number
- 1528657905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2021 (5.6068784002151 yrs)
- Last Updated
- Jan 11, 2021
- License
-
T63629900 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 PRESSON BLVDRICHMOND, VA, 232248020Browse VA providers · Browse ZIP 23224
- Phone
- 8042991932
- Primary Specialty
-
171WV0202X
171WV0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.