Mayra Madalena
Mayra Madalena is a Student in an Organized Health Care Education/Training Program in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2021.
- Licensed in
- VA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
520 N 12th StRichmond, VA 23298-5064
Phone: (786) 587-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 0401417562 (VA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1669040481 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 17, 2021 |
| Last updated in NPPES | July 6, 2021 |
| Certification date | July 6, 2021 |
| Mailing address | 5913 Laurel Bed Ln Unit B, Richmond, VA 23227-5607 |
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