Individual
JOHN WILLIAM BREAU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7005
(703) 502-7055
Mailing address
2631 DANIEL TER, WINCHESTER, VA 22601-2644
(703) 502-7005
(703) 502-7055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001143183
VA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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