Individual
MARIANNE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4630 MONTICELLO AVE, WILLIAMSBURG, VA 23188-8200
(757) 564-9835
Mailing address
114 KEITH RD, NEWPORT NEWS, VA 23606-1110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208538
VA
Other
Enumeration date
06/20/2011
Last updated
12/06/2011
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