Brandy Shaney Brantley

NPI 1295019891 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1295019891
Gender Female
Enumeration Date 10/01/2011
Last Updated 10/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5400 MOUNTAIN VISTA ST
#1114
LAS VEGAS NV, 89120-2161, US
Phone (313) 539-5539
Fax
Business Location
5400 MOUNTAIN VISTA ST
#1114
LAS VEGAS NV, 89120-2161, US
Phone
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Brandy Shaney Brantley NPI is 1295019891, taxonomy code is 225400000X Brandy Shaney Brantley physically located at 5400 Mountain Vista St, Las Vegas NV, 89120-2161. NPI Number Brandy Shaney Brantley has the Individual type.

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1295019891 NPI number is provided on an as is basis without warranty of any kind. 1295019891 is maintained by the National Plan & Provider Enumeration System. The contents of Brandy Shaney Brantley are for informational purposes only.