Provider Demographics
NPI:1376038091
Name:ALAMIN, ZUDAYYAH MEDINA
Entity Type:Individual
Prefix:MS
First Name:ZUDAYYAH
Middle Name:MEDINA
Last Name:ALAMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 AUSTIN CT APT J
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23605-2792
Mailing Address - Country:US
Mailing Address - Phone:757-329-8397
Mailing Address - Fax:
Practice Address - Street 1:702 AUSTIN CT APT J
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23605-2792
Practice Address - Country:US
Practice Address - Phone:757-329-8397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT61761700347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle