Floyce Brenna Phoenix LMT

NPI 1013205756 - Specialist - 174400000X

NPI Details
NPI 1013205756
Gender Female
Enumeration Date 07/15/2011
Last Updated 07/15/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1192 BROOKSIDE DR
EUGENE OR, 97405-2049, US
Phone (541) 687-0137
Fax
Business Location
1192 BROOKSIDE DR
EUGENE OR, 97405-2049, US
Phone (541) 687-0137
Fax
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number 6260
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According to our database, Floyce Brenna Phoenix LMT NPI is 1013205756, taxonomy code is 174400000X and license number is 6260, license state is located at Oregon. Floyce Brenna Phoenix LMT physically located at 1192 Brookside Dr, Eugene OR, 97405-2049. NPI Number Floyce Brenna Phoenix LMT has the Individual type.

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1013205756 NPI number is provided on an as is basis without warranty of any kind. 1013205756 is maintained by the National Plan & Provider Enumeration System. The contents of Floyce Brenna Phoenix LMT are for informational purposes only.