Individual
BROOKE VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3213 TERRA SPRINGS DR, FREDERICKSBURG, VA 22408-8016
(540) 850-5230
Mailing address
3213 TERRA SPRINGS DR, FREDERICKSBURG, VA 22408-8016
(540) 850-5230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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