Individual
BRANDI WEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N D ST, LAKEVIEW, OR 97630-1540
(541) 947-6021
Mailing address
100 N D ST, LAKEVIEW, OR 97630-1540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2011
Last updated
06/05/2024
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