Individual
BRIANNA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15489 AMBERGATE DR, WOODBRIDGE, VA 22193-5743
(202) 674-2323
Mailing address
15489 AMBERGATE DR, WOODBRIDGE, VA 22193-5743
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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