Individual
ANJALA DELORIS BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
9811 S JEFFERY AVE, CHICAGO, IL 60617-5220
(312) 221-6697
Mailing address
10200 GRAND AVE, FRANKLIN PARK, IL 60131-3139
(847) 455-5688
(847) 455-0744
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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