Individual
LEIGH ANN BRASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.D.
Contact information
Practice address
3499 BELLA VISTA WAY, BELLA VISTA, AR 72714-5740
(479) 273-9136
(479) 273-9155
Mailing address
3499 BELLA VISTA WAY, BELLA VISTA, AR 72714-5740
(479) 273-9136
(479) 273-9155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08843
AR
183500000X
Pharmacist
41501
TX
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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