Individual
BREANA DIAMOND DAVIS-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
293 INDEPENDENCE BLVD STE 400, VIRGINIA BEACH, VA 23462-5461
(757) 490-3009
Mailing address
293 INDEPENDENCE BLVD STE 400, VIRGINIA BEACH, VA 23462-5461
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RBT-21-5226273256
VA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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