Andolyn Medina - Portsmouth, VA

Andolyn Medina

Military Health Care Provider in Portsmouth, Virginia

NPI 1831810506

Andolyn Medina is a Military Health Care Provider based in Portsmouth, VA. Andolyn Medina practices in Portsmouth, VA. The NPI Number for Andolyn Medina is 1831810506 and holds a License No. (Virginia).

The current practice location address for Andolyn Medina is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-0000.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111

NPI Number

1831810506

Provider Name

Andolyn Medina

Credential

Provider Entity Type

Individual

Gender

Female

Address

620 John Paul Jones Cir, Portsmouth, VA, 23708-2111

Phone Number

757-953-0000

Fax Number

Provider Enumeration Date

09/09/2022

Last Update Date

03/10/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-0000

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-0000

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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