Individual
MS. BREANNA IRENE KUSSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3157 4TH ST N, SAINT PETERSBURG, FL 33704-2124
(727) 403-2287
Mailing address
235 3RD AVE N UNIT 209, SAINT PETERSBURG, FL 33701-3356
(727) 403-2287
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12037
FL
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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