Individual
BRENDA ANNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 WALDERBROOK RD, NORTH CHESTERFIELD, VA 23234-3415
(919) 333-3290
Mailing address
6101 WALDERBROOK RD, NORTH CHESTERFIELD, VA 23234-3415
(919) 333-3290
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
516812
VA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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