Individual
TARISHA MALOSHA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1988 ANDERSON HWY, CUMBERLAND, VA 23040-2526
(434) 607-3563
Mailing address
1988 ANDERSON HWY, CUMBERLAND, VA 23040-2526
(434) 607-3563
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T67538691
VA
172A00000X
Driver
T67538691
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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