Individual
MRS. BRANDY LETICIA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS IECE
Contact information
Practice address
349 BRIGHTON AVE, BOWLING GREEN, KY 42101-9087
(859) 319-7616
Mailing address
349 BRIGHTON AVE, BOWLING GREEN, KY 42101-9087
(859) 319-7616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200700812
KY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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