Individual
BRANDY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 TENSAS DR APT A, HARVEY, LA 70058-4509
(832) 362-9330
Mailing address
1137 TENSAS DR APT A, HARVEY, LA 70058-4509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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