RICKY BROCKINGTON

FRANKLIN, VA
NPI1871108233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: VA  0024180104)
Enumeration Date2020-09-12
Last Update Date2021-08-12
Business Address
RICKY BROCKINGTON
102 FAIRVIEW DR STE B
FRANKLIN, VA 23851-1206
Phone number: 757-562-2158
Mailing Address
RICKY BROCKINGTON
19124 LAKESIDE DR
COURTLAND, VA 23837-2634
Phone number: 757-562-2004
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