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Mrs. Kierra Jambre' Sewell
Prosthetic/Orthotic Supplier in Virginia Beach, Virginia
NPI 1194309807

Kierra Jambre' Sewell is a Prosthetic/Orthotic Supplier based in Virginia Beach, VA. Kierra Jambre' Sewell practices in Virginia Beach, VA. The NPI Number for Kierra Jambre' Sewell is 1194309807 and holds a License No. (Virginia).

The current practice location address for Kierra Jambre' Sewell is 5523 Seawall Ct, Virginia Beach, VA and can be reached out via phone at 757-560-2055.

Location: 5523 Seawall Ct, Virginia Beach, VA, 23462-7715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194309807
Provider Name
Kierra Jambre' Sewell
Credential
Provider Entity Type
Individual
Gender
Female
Address
5523 Seawall Ct, Virginia Beach, VA, 23462-7715
Phone Number
757-560-2055
Fax Number
Provider Enumeration Date
05/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11150233 01 VA OUT OF NETWORK
institution
Provider Business Practice Location Address Details
Address
5523 Seawall Ct
City
Virginia Beach
State
Virginia
Zip
23462-7715
Phone Number
757-560-2055
Fax Number
person
Provider Business Mailing Address Details
Address
5523 Seawall Ct
City
Virginia Beach
State
Virginia
Zip
23462-7715
Phone Number
757-560-2055
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Virginia)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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