Individual
AMANDA L BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6528 NORTH 106TH STREET, MILWAUKEE, WI 53224-5111
(414) 699-3940
Mailing address
PO BOX 240471, MILWAUKEE, WI 53224-9016
(414) 699-3940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162368-030
WI
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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