Individual
BONNIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
79 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 932-4708
(540) 932-5642
Mailing address
79 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 932-4708
(540) 932-5642
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180330
SOUTHEN HEALTH
VA
Enumeration date
02/23/2006
Last updated
09/08/2007
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