Individual
MS. SHANDRA PATRICE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
BLDG 2441 21ST STREET, US ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223
(270) 798-8977
(270) 956-0266
Mailing address
5580 AIR ASSAULT AND DESERT STORM, FT CAMPBELL, KY 42223
(270) 798-6362
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0000004921
TN
124Q00000X
Dental Hygienist
4921
TN
Other
Enumeration date
06/10/2016
Last updated
06/10/2022
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