Individual
MS. LASHAWNA APRIL BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 BAILEY AVE, WICHITA FALLS, TX 76301-6927
(940) 766-0279
Mailing address
121 DUNBAR DR, WICHITA FALLS, TX 76302-3708
(940) 781-0265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
209365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209365
COTA
TX
Enumeration date
03/03/2008
Last updated
03/03/2008
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