Individual
BRANDI GENITA NEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1097.2 S FARRIS RD, ATOKA, OK 74525
(580) 210-2146
Mailing address
1097.2 S FARRIS RD, ATOKA, OK 74525
(580) 210-2146
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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