SearchVirginiaProsthetics Case Management

Dezaray Purnell, CRANIAL PROSTHESIS

NPI 1639825771 · on the registry since 2022

Practice

Address
3089 Hull St
Richmond, VA 23224
Phone
(804) 269-0168
Organisation at this address
Diamond Venom Artistry Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Prosthetics Case Management
1744P3200X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia