Individual
BRANDY C MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
101 NW 12TH AVE, STE. 125, BATTLE GROUND, WA 98604-9141
(360) 687-6307
(360) 687-6309
Mailing address
101 NW 12TH AVE, STE. 125, BATTLE GROUND, WA 98604-9141
(360) 687-6307
(360) 687-6309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022116
WA
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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