Individual
DURANT DARYL BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 425-3900
(386) 274-4140
Mailing address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 425-3900
(386) 274-4140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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