Individual
ANGELA ROSE BRAZIL-MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
11901 PACIFIC ST, OMAHA, NE 68154-3421
(402) 401-6151
Mailing address
1013 DAY DR, BELLEVUE, NE 68005-4425
(650) 888-7612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1131
NE
Other
Enumeration date
05/14/2021
Last updated
01/06/2023
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