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Madelyn Danielle Golden-Lopez

Military Health Care Provider, Independent Duty Medical Technicians in Apo, AE. Individual provider (NPI-1).

NPI number1801404397
StatusActive
Last updated in NPPESJan 24, 2024

Details

NPI
1801404397
Entity type
Individual (NPI-1)
Name
Madelyn Danielle Golden-Lopez
Sex
Female
Sole proprietor
No
Enumeration date
Jul 21, 2020
Certification date
Jan 24, 2024
Last updated
Jan 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

Unit 3690 Box Mdg
Apo, AE 09126-3690

Phone 314-452-8789

Mailing address

6040 Eganridge Ct
N Las Vegas, NV 89081-6524

Phone 425-268-1490

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