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Individual

DINITA BRAZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
310 DOUGLAS AVE, PORTSMOUTH, VA 23707-1613
(757) 379-6576
Mailing address
310 DOUGLAS AVE, PORTSMOUTH, VA 23707-1613
(757) 379-6576

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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