Individual
BRENDA BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4548 CLINEBELL LN, COLORADO SPRINGS, CO 80916-1463
(719) 233-1235
Mailing address
4548 CLINEBELL LN, COLORADO SPRINGS, CO 80916-1463
(719) 233-1235
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
993231525
CO
Other
Enumeration date
10/28/2024
Last updated
11/01/2024
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