Individual
BRITTNEY FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 SILVER CREEK DR, DESOTO, TX 75115-7846
(214) 440-6812
Mailing address
PO BOX 3275, COMMERCE, TX 75429-3275
(214) 440-6812
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
34764382
TX
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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