Individual
MR. BRENDT ALLEN BRANDEWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CGC ACTIVE, EDIZ HOOK RD, PORT ANGELES, WA 98362
(360) 417-5970
Mailing address
CGC ACTIVE, EDIZ HOOK RD, PORT ANGELES, WA 98362
(360) 417-5970
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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