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Individual

BRITTNEY WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14121 PARKE LONG CT, CHANTILLY, VA 20151-1647
(757) 755-5561
Mailing address
4723 LONG TOM LN, CHESTERFIELD, VA 23832-7686
(757) 755-5561

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174030
VA

Other

Enumeration date
08/04/2017
Last updated
08/04/2017
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