Individual
BRUNETTE LARISSA MADON MAKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 N MAIN ST APT B, TIMBERVILLE, VA 22853-9538
(540) 209-2868
Mailing address
148 N MAIN ST APT B, TIMBERVILLE, VA 22853-9538
(540) 209-2868
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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