Individual
TYLER BRICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 897-9059
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 897-9059
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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