Individual
JAN JULIUS BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14682 CHAPEL LN, LEESBURG, VA 20176-5276
(703) 779-7767
Mailing address
14682 CHAPEL LN, LEESBURG, VA 20176-5276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101047929
VA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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