Individual
BRENDA ALLYN QUEEN
Active
Individual
BRENDA ALLYN QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101248171
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116019249
VA
Other
Enumeration date
06/29/2007
Last updated
09/16/2010
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