Individual
NIYA L MCCADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 STAUNTON AVE NW, ROANOKE, VA 24016-1039
(540) 759-6040
Mailing address
901 STAUNTON AVE NW, ROANOKE, VA 24016-1039
(540) 759-6040
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356028682
ORGANIZATION
VA
Enumeration date
08/02/2024
Last updated
08/02/2024
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