Individual
BRENDA ITHIER NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
1081 WP BALL BLVD, SANFORD, FL 32771-7201
(407) 328-7595
(407) 328-7372
Mailing address
6706 AMBASSADOR DR, ORLANDO, FL 32818-4023
(407) 473-5494
(321) 245-7199
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1940
ACUPUNCTURE LICENSE
FL
Enumeration date
07/19/2013
Last updated
07/20/2013
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