Individual
JILL MARION BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2500 N VAN DORN ST STE 128, ALEXANDRIA, VA 22302-1601
(703) 894-4867
Mailing address
2500 N VAN DORN ST STE 128, ALEXANDRIA, VA 22302-1601
(703) 894-4867
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402204812
VA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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