Individual
KIMBERLY ELLEN BRANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 COOPER ST, ALEXANDRIA, VA 22309-1052
(703) 360-8771
Mailing address
8200 COOPER ST, ALEXANDRIA, VA 22309-1052
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002054251
VA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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