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Dr. Vivian Judith Brasch, MD
Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina
NPI 1144809039

Vivian Judith Brasch is a Student in an Organized Health Care Education/Training Program based in Fayetteville, NC. Vivian Judith Brasch practices in Fayetteville, NC and has the professional credentials of MD. The NPI Number for Vivian Judith Brasch is 1144809039 and holds a License No. (North Carolina).

The current practice location address for Vivian Judith Brasch is 1638 Owen Dr, Fayetteville, NC and can be reached out via phone at 910-615-3960.

Location: 1638 Owen Dr, Fayetteville, NC, 28304-3424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144809039
Provider Name
Vivian Judith Brasch
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1638 Owen Dr, Fayetteville, NC, 28304-3424
Phone Number
910-615-3960
Fax Number
Provider Enumeration Date
04/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1638 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3424
Phone Number
910-615-3960
Fax Number
person
Provider Business Mailing Address Details
Address
1638 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3424
Phone Number
910-615-3960
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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