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Individual

BONNIE J BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9300 GRANT AVE., SUITE 101, MANASSAS, VA 20110
(703) 382-6871
(703) 682-6872
Mailing address
9300 GRANT AVE., SUITE 101, MANASSAS, VA 20110
(703) 382-6871
(703) 682-6872

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171400000X
NATIONAL MEDICAL BOARD
Enumeration date
04/13/2021
Last updated
04/13/2021
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