Individual
BREN DESMOND LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
12621 YARDARM PL, WOODBRIDGE, VA 22192-2123
(571) 357-0178
Mailing address
12621 YARDARM PL, WOODBRIDGE, VA 22192-2123
(571) 357-0178
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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