Individual
KAREN BRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRACTITIONER
Contact information
Practice address
241 CORPORATE BLVD, SUITE 215, NORFOLK, VA 23502-4975
(757) 455-5009
(757) 362-3577
Mailing address
241 CORPORATE BLVD, SUITE 215, NORFOLK, VA 23502-4975
(757) 455-5009
(757) 362-3577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1204018470
VA
174400000X
Specialist
Primary
TPC-2669
VA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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