Individual
MISS ANTARNISEAR BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 SCOTT ST SW APT 118, ATLANTA, GA 30311-1814
(425) 405-0377
Mailing address
311 SCOTT ST SW APT 118, ATLANTA, GA 30311-1814
(425) 405-0377
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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