Individual
BRITTAINY BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 S MAIN ST STE B, LEXINGTON, NC 27292-3134
(336) 300-8826
Mailing address
626 JOHN YOUNG RD, LEXINGTON, NC 27292-7025
(336) 596-7387
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
74680
NC
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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