Individual
HEIDI MICHELLE BRISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 VICTORY ST, BROOKINGS, SD 57006-3545
(308) 708-8110
Mailing address
1823 VICTORY ST, BROOKINGS, SD 57006-3545
(308) 708-8110
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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