Individual
COLLEEN SHANNA LEE BLAKE-BRAMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 S UNIVERSITY DR, FT LAUDERDALE, FL 33328-2004
(954) 262-4550
Mailing address
7091 ENVIRON BLVD APT 247, LAUDERHILL, FL 33319-4211
(754) 946-0063
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI46729
FL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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