Individual
MR. BRADLEY DANIEL DEMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10543 S CRATER RD, SOUTH PRINCE GEORGE, VA 23805-7333
(800) 805-6989
Mailing address
216 WISTERIA LN APT 1D, PETERSBURG, VA 23805-9167
(804) 658-6184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001240362
VA
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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