Individual
BRANDI ALEXANDRIA DECHELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
500 N CENTRAL AVE, GLENDALE, CA 91203-3905
(323) 939-4228
Mailing address
9035 WILDWOOD AVE, SUN VALLEY, CA 91352-2132
(818) 381-3997
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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