BREN DESMOND LOWERY

WOODBRIDGE, VA
NPI1619508199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2020-02-03
Last Update Date2020-02-03
Business Address
BREN DESMOND LOWERY QMHP
12621 YARDARM PL
WOODBRIDGE, VA 22192-2123
Phone number: 571-357-0178
Mailing Address
BREN DESMOND LOWERY QMHP
12621 YARDARM PL
WOODBRIDGE, VA 22192-2123
Phone number: 571-357-0178