Individual
GWENDOLYN YOLANDA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1258 HOLLAND RD, SUFFOLK, VA 23434-6313
(757) 943-0594
Mailing address
1258 HOLLAND RD, SUFFOLK, VA 23434-6313
(175) 763-9977
(757) 809-4771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002081321
VA
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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