Individual
KIAWNA CHEZ BRINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HERONS CV, CARROLLTON, VA 23314-3487
(757) 769-5801
Mailing address
101 HERONS CV, CARROLLTON, VA 23314-3487
(757) 769-5801
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
VA
Enumeration date
02/11/2019
Last updated
02/11/2019
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