Individual
BRANDY MARIE DELOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 PHILLIPS ST, MASSENA, NY 13662-2016
(315) 764-8076
Mailing address
65 MARTIN ST, MASSENA, NY 13662-1144
(315) 212-4326
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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