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Individual

MRS. SUZANNE ELAINE BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3900 WINDSOR HALL DR, F235, WILLIAMSBURG, VA 23188-2875
(757) 229-2808
Mailing address
124 OLD CARRIAGE WAY, WILLIAMSBURG, VA 23188-7881
(757) 564-1867

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0119001914
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0119001914
LICENSE
VA
Enumeration date
01/11/2010
Last updated
01/11/2010
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