Individual
DR. MADALYN LEIGH VAN VALKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7201
(601) 288-7000
(601) 288-4163
Mailing address
906 CORINNE ST, HATTIESBURG, MS 39401-4251
(501) 772-8140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14520
AR
Other
Enumeration date
09/22/2018
Last updated
07/02/2019
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