Individual
BRANDI VANTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPS
Contact information
Practice address
817 W EVERGREEN ST, DURANT, OK 74701-4751
(832) 795-2368
Mailing address
817 W EVERGREEN ST, DURANT, OK 74701-4751
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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