Individual
WHITNEY BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO/LPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1784
TX
224P00000X
Prosthetist
1784
TX
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
Update your record
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