Individual
TERRI BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 JUSTIN DR, PALMYRA, VA 22963-2099
(434) 960-6442
Mailing address
989 JUSTIN DR, PALMYRA, VA 22963-2099
(434) 960-6442
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
VA
Enumeration date
02/08/2022
Last updated
02/08/2022
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