Individual
LOVELIN BRANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7650 N 43RD AVE, GLENDALE, AZ 85301-1661
(623) 915-8763
(623) 915-8762
Mailing address
37029 N 12TH ST, PHOENIX, AZ 85086-8481
(623) 256-4919
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048152
AZ
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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