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Individual

BRANDY DRAUGHON D'ANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
110 KINGSLEY LN, SUITE 106, NORFOLK, VA 23505-4614
(757) 889-5735
(757) 889-5742
Mailing address
110 KINGSLEY LN, SUITE 106, NORFOLK, VA 23505-4614
(757) 889-5735
(757) 889-5742

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0024167077
VA

Other

Enumeration date
11/07/2006
Last updated
12/19/2007
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