Brenda Wilson Mickens

NPI #1437783313 in Glen Allen, Virginia

Provider Information

NPI Number
1437783313
Entity Type
Individual
Name
Brenda Wilson Mickens
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Feb 28, 2020
Last Updated
Feb 28, 2020

Practice Location

Address
4917 DAFFODIL CIR
ZIP Code
23060-3558
Phone
(804) 839-3642

Specialties & Taxonomy Codes

Specialty
Home Health

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