Individual
MISS BRANDI SHANTE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 846-4267
Mailing address
4656 DON MIGUEL DR, LOS ANGELES, CA 90008-4103
(310) 977-9236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
18201
CA
Other
Enumeration date
04/22/2007
Last updated
07/26/2014
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