Individual
BROOKE ALLISON PUCKETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
6 SEA COVE CT, HAMPTON, VA 23669-1066
(757) 722-9961
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001161
VA
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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