Individual
BRENDA EUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6088
Mailing address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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