Individual
MADONNA SAMUEL RIYAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6056
(423) 439-7272
Mailing address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6056
(423) 439-7272
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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