Individual
MILLICENT MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 260-8321
Mailing address
320 OAK RIDGE DR, NEWPORT NEWS, VA 23603-1378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001203997
VA
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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