Individual
MRS. TRISHA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16189 PASSING RD, MILFORD, VA 22514-2882
(808) 683-2171
Mailing address
16189 PASSING RD, MILFORD, VA 22514-2882
(808) 683-2171
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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