Individual
MRS. JUAQULA MICHELLE MADKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D., M.S.
Contact information
Practice address
304 EARNHARDT DR, NEW MARKET, AL 35761-7917
(256) 829-1470
Mailing address
304 EARNHARDT DR, NEW MARKET, AL 35761-7917
(256) 829-1470
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
924890
AL
Other
Enumeration date
06/08/2006
Last updated
09/19/2012
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