Individual
BRENDA ANN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BRANDI
Contact information
Practice address
3806 YELLOWSTONE DR, LAS CRUCES, NM 88011-9064
(575) 405-4142
Mailing address
3806 YELLOWSTONE DR, LAS CRUCES, NM 88011-9064
(575) 405-4142
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
246Z00000X
Other Specialist/Technologist
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
2472E0500X
EEG Technician
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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