Individual
BRENDA WILLIAMS-WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9109 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
(410) 655-7373
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5705
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001177421
VA
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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