Individual
ELIZABETH D MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 267-6814
(804) 330-2325
Mailing address
1401 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 267-6814
(804) 330-2325
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0024169061
VA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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