BRANDON ANTHONY
Individual Provider (NPI-1)
Active
Licensed Vocational Nurse
Provider Information
- NPI Number
1063008654- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 323 FOUNTAIN WAY, HAMPTON, VA, 236664221
- Phone
- (818) 447-2004
Specialties & Taxonomies
Licensed Vocational Nurse
Primary License: VA #0002090007
All Addresses
MAILING
323 FOUNTAIN WAY
HAMPTON, VA, 236664221