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Individual

ADELE COLT BRANDMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
337 MAPLE AVE E, MINUTE CLINIC, INSIDE CVS, VIENNA, VA 22180-4717
(703) 938-9490
Mailing address
337 MAPLE AVE E, MINUTE CLINIC, INSIDE CVS, VIENNA, VA 22180-4717
(703) 938-9490

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164526
VA

Other

Enumeration date
10/03/2006
Last updated
02/09/2009
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