Individual
BRANDON LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
897 IRONWOOD DR STE A, MINDEN, NV 89423-5198
(775) 782-1610
Mailing address
528 RANDOLPH ST, NORTHVILLE, MI 48167-1466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
NV
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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