Individual
BRANDIE DAWN BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
525 COMMERCE ST APT 111, AZLE, TX 76020-2467
(682) 218-9816
Mailing address
525 COMMERCE ST APT 111, AZLE, TX 76020-2467
(682) 218-9816
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233978
TX
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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