Individual
CHERYL DEBROUGH
Active
Individual
CHERYL DEBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGY
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1201082954
VA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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