Organization
BRANNATA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANNY CRUZ (OWNER)
(541) 760-4775
Entity
Organization
Contact information
Practice address
600 S DOBSON RD STE D31-D35, CHANDLER, AZ 85224-5678
(541) 816-1049
Mailing address
545 SW 2ND ST STE 201, CORVALLIS, OR 97333-4466
(541) 816-1049
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
08/12/2025
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