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Leteisha Mechi'ell Gordon
Vehicle Modifications Contractor in Richmond, Virginia
NPI 1528657905

Leteisha Mechi'ell Gordon is a Vehicle Modifications Contractor based in Henrico, VA and is specialized in Vehicle Modifications. Leteisha Mechi'ell Gordon practices in Richmond, VA. The NPI Number for Leteisha Mechi'ell Gordon is 1528657905 and holds a License No. T63629900 (Virginia).

The current practice location address for Leteisha Mechi'ell Gordon is 1600 Presson Blvd, Richmond, VA and can be reached out via phone at 804-299-1932.

Location: 1600 Presson Blvd, Richmond, VA, 23231-0129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528657905
Provider Name
Leteisha Mechi'ell Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1600 Presson Blvd, Richmond, VA, 23231-0129
Phone Number
804-299-1932
Fax Number
Provider Enumeration Date
01/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T63629900 01 VA DMV LICENSE
institution
Provider Business Practice Location Address Details
Address
1600 Presson Blvd
City
Richmond
State
Virginia
Zip
23224-8020
Phone Number
804-299-1932
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Presson Blvd
City
Richmond
State
Virginia
Zip
23224-8020
Phone Number
804-299-1932
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Vehicle Modifications
Taxonomy
171WV0202X
License No.
T63629900 (Virginia)
Definition
A contractor who makes modifications to private vehicles to accommodate a health condition.
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