Individual
BRANDI NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 324-3281
Mailing address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 324-3281
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2013011544
MO
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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