Individual
DEIRDRE BRANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 N COURTHOUSE RD, PROVIDENCE FORGE, VA 23140-3408
(804) 409-7525
Mailing address
13618 WILLOW BLUESTAR LOOP, RIVERVIEW, FL 33579-6610
(757) 771-9253
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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