Individual
JAN PATRICK MALPAYA LLANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
301 RIVERVIEW AVE STE 202, NORFOLK, VA 23510-1065
(757) 252-9140
Mailing address
301 RIVERVIEW AVE STE 202A, NORFOLK, VA 23510-1065
(757) 252-9140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12783
NC
363A00000X
Physician Assistant
Primary
0110009097
VA
Other
Enumeration date
11/17/2022
Last updated
09/27/2023
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