Individual
BRIAN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(636) 359-2568
Mailing address
4831 W BRADDOCK RD APT 204, ALEXANDRIA, VA 22311-4822
(636) 359-2568
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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