Individual
BRIA L BRUNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HALL ST, TRAVERSE CITY, MI 49684-2288
(231) 645-4500
Mailing address
105 HALL ST, TRAVERSE CITY, MI 49684-2288
(231) 645-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704328185
MI
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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