Individual
BRANDI LABONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
458 TOWN SQ, COPPERAS COVE, TX 76522-2826
(254) 533-5801
Mailing address
458 TOWN SQ, COPPERAS COVE, TX 76522-2826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2035197
KY
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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