Individual
BRENDA BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 TINKLING ROAD, KENBRIDGE, VA 23944
(434) 676-3456
Mailing address
P.O. BOX 925, VICTORIA, VA 23974
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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