Individual
MRS. MADHAVI VADLAMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3844 THORNCREST DR, JACKSON, MI 49203-7102
(734) 833-5344
Mailing address
3844 THORNCREST DR, JACKSON, MI 49203-7102
(734) 833-5344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109657
MI
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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