Individual
BRANDI LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44599 WELLSBORO DR, ASHBURN, VA 20147-2525
(214) 931-2457
Mailing address
44599 WELLSBORO DR, ASHBURN, VA 20147-2525
(214) 931-2457
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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