Individual
MR. BRANDON HOLLAND SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16726 CHOWNING CT, WOODBRIDGE, VA 22191-4607
(443) 865-4473
Mailing address
16726 CHOWNING CT, WOODBRIDGE, VA 22191-4607
(443) 865-4473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001152
VA
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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