Individual
MS. SHIRRON E BRISSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
346 N. MAIN ST, SUFFOLK, VA 23434
(757) 350-4477
(757) 350-4488
Mailing address
346 N MAIN ST, SUFFOLK, VA 23434-4447
(757) 350-4477
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669865291
—
VA
Enumeration date
05/11/2018
Last updated
05/11/2018
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