Individual
BRANDON KHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
4219 SW MAWRCREST AVE, GRESHAM, OR 97080-8682
(503) 545-4405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0442000453
VA
Other
Enumeration date
04/12/2022
Last updated
06/29/2022
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