Individual
MS. DEANNA BRUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT, RN
Contact information
Practice address
2014 1ST STREET A, MOLINE, IL 61265-7728
(309) 797-9320
(309) 797-0199
Mailing address
915 27TH AVE, ROCK ISLAND, IL 61201-5229
(309) 912-8869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041368945
IL
183700000X
Pharmacy Technician
049-129846
IL
Other
Enumeration date
01/31/2006
Last updated
01/25/2020
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