Medina Padilla, Amanda Raquel

Medina Padilla, Amanda Raquel is an individual health care provider with primary practice located at 813 Exeter Ct , Charlottesvle VA 22901-1761. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pathology, which is considered as her primary health care specialty. Medina Padilla, Amanda Raquel can be contacted via phone (787) 955-7401.

Contact Information

Primary practice address
813 Exeter Ct Charlottesvle VA 22901-1761
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 2204000372 Virginia

Profile Details

NPI number 1952932980
LBN Legal business name Medina Padilla, Amanda Raquel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2020
Last updated Jan 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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