IndividualActive
Dezaray Purnell, CRANIAL PROSTHESIS
NPI 1639825771 · Prosthetics Case Management · Richmond, VA
Provider details
- NPI number
- 1639825771
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- CRANIAL PROSTHESIS
- Sex
- Female
- Sole proprietor
- No
- License
- 1201143615 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
3089 Hull St
Richmond, VA 23224-3575
Phone: (804) 269-0168
Approximate (ZIP-level) locationGet directions
Mailing address
3089 Hull St
Richmond, VA 23224-3575
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2022-02-28
- Certified
- 2022-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.