Individual
DR. CARLIE DANIELLE BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1343 S INTERNATIONAL PKWY, LAKE MARY, FL 32746-1401
(407) 792-0705
Mailing address
1343 S INTERNATIONAL PKWY, LAKE MARY, FL 32746-1401
(407) 792-0705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11925
FL
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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