Provider Demographics
NPI:1912206285
Name:ESPIGH, ELEINA (CCT)
Entity Type:Individual
Prefix:
First Name:ELEINA
Middle Name:
Last Name:ESPIGH
Suffix:
Gender:F
Credentials:CCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4979
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23058-4979
Mailing Address - Country:US
Mailing Address - Phone:804-454-4540
Mailing Address - Fax:
Practice Address - Street 1:11701 LINCOLNSHIRE CT
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-3417
Practice Address - Country:US
Practice Address - Phone:804-454-4540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VANONE174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist