Individual
BRANDY RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14861 N CAVE CREEK RD, PHOENIX, AZ 85032-4909
(602) 992-1486
(602) 992-6604
Mailing address
14861 N CAVE CREEK RD, PHOENIX, AZ 85032-4909
(602) 992-1486
(602) 992-6604
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
247200000X
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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