Individual
ISSA MALADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8146 TALL TIMBER DR, GAINESVILLE, VA 20155-1746
(703) 753-1536
Mailing address
16864 MIRANDA LN, WOODBRIDGE, VA 22191-5140
(571) 298-7659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001298535
VA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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