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Individual

BRANDON GUEVARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
180 FLOYD AVE, ROCKY MOUNT, VA 24151-1318
(540) 483-5277
(540) 489-6459
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011776
VA
363A00000X
Physician Assistant
878
WV

Other

Enumeration date
05/10/2024
Last updated
05/11/2026
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