Individual
BRANDY LYNN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LC, BBA
Contact information
Practice address
10911 CEDAR POST LN, SPOTSYLVANIA, VA 22553-1627
(540) 805-0041
Mailing address
10911 CEDAR POST LN, SPOTSYLVANIA, VA 22553-1627
(540) 805-0041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
108-73235
VA
Other
Enumeration date
10/04/2009
Last updated
10/04/2009
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