Individual
MAMADOU LAMINE SYLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001289524
VA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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