Individual
BRANDY MICHELLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 ROYAL VISTA CV, GREENBRIER, AR 72058-9143
(501) 352-2422
Mailing address
12 ROYAL VISTA CV, GREENBRIER, AR 72058-9143
(501) 352-2422
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/31/2021
Last updated
10/31/2021
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