Individual
IMANI BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 KEMPSVILLE RD, NORFOLK, VA 23502-2643
(757) 524-1593
(757) 578-8233
Mailing address
1251 KEMPSVILLE RD, NORFOLK, VA 23502-2643
(757) 524-1593
(757) 578-8233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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