Individual
DANA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
260 E 15TH ST, MERCED, CA 95341
(209) 381-1030
(209) 381-1056
Mailing address
260 E 15TH ST, MERCED, CA 95341
(209) 381-1030
(209) 381-1056
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN184288
CA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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