Individual
JORDAN MAGALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12097 GAYTON RD, RICHMOND, VA 23238-3401
(804) 404-9609
Mailing address
1608 CRANBURY DR, RICHMOND, VA 23238-3007
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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