Individual
MALENA C SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5280 HENNEMAN DR, NORFOLK, VA 23513-2503
(757) 395-4455
(757) 233-1792
Mailing address
5280 HENNEMAN DR, NORFOLK, VA 23513-2503
(757) 395-4455
(757) 233-1792
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101240370
VA
Other
Enumeration date
08/12/2006
Last updated
11/05/2021
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