Individual
BRANDON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10100 FOXES WAY, KING GEORGE, VA 22485-3469
(540) 775-3535
Mailing address
10100 FOXES WAY, KING GEORGE, VA 22485-3469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003258
VA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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