Individual
EKATERINA BRATYSHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13540 HULL STREET ROAD, MIDLOTHIAN, VA 23112
(804) 595-1418
Mailing address
13540 HULL STREET ROAD, MIDLOTHIAN, VA 23112
(804) 595-1418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116029383
VA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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