Individual
KIMBERLY S BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 ADAMS AVE, LA GRANDE, OR 97850-3467
(541) 963-9515
(541) 963-8907
Mailing address
2510 ADAMS AVE, LA GRANDE, OR 97850-3467
(541) 963-9515
(541) 963-8907
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0005931
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPT-0005931
PHARMACY TECHNICIAN
OR
Enumeration date
02/13/2012
Last updated
02/13/2012
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