Individual
ELENA MUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3514 MAYLAND CT, RICHMOND, VA 23233-1421
(804) 747-0003
(804) 747-0043
Mailing address
PO BOX 5820, GLEN ALLEN, VA 23058-5820
(804) 747-0003
(804) 747-0043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305204549
VA
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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