Individual
MALIK ELIJAH MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
761 ADAMS DR APT 8A, NEWPORT NEWS, VA 23601-2624
(757) 902-0933
Mailing address
761 ADAMS DR APT 8A, NEWPORT NEWS, VA 23601-2624
(757) 902-0933
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
T68108668
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822455857
—
VA
Enumeration date
09/29/2017
Last updated
07/21/2022
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