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Individual

MRS. TERRI BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNHP LDHP BCC

Contact information

Practice address
700 W WASHINGTON ST, SUFFOLK, VA 23434-6103
(757) 642-5899
Mailing address
213 HIGHLAND AVE, SUFFOLK, VA 23434
(757) 642-5899

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
U-9586896
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133NN1002X
NUTRIRIONAL EDUCATION
VA
Enumeration date
09/01/2016
Last updated
10/11/2016
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