person
Madison Leigh Rattan
Military Health Care Provider in Portsmouth, Virginia
NPI 1952004491

Madison Leigh Rattan is a Military Health Care Provider based in Lubbock, VA. Madison Leigh Rattan practices in Portsmouth, VA. The NPI Number for Madison Leigh Rattan is 1952004491 and holds a License No. (Virginia).

The current practice location address for Madison Leigh Rattan is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-5000.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 79416-3327
person
Provider Profile Details
NPI Number
1952004491
Provider Name
Madison Leigh Rattan
Credential
Provider Entity Type
Individual
Gender
Female
Address
620 John Paul Jones Cir, Portsmouth, VA, 79416-3327
Phone Number
757-953-5000
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
757-953-5000
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
757-953-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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