Individual
KERRY FAIN BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2709
(540) 951-4136
Mailing address
910 CARSON DR, CHRISTIANSBURG, VA 24073-5410
(540) 230-0286
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202010026
VA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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