Individual
ANTHONY EUGENE BRACEFUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
788 FAIRVIEW DR, CARSON CITY, NV 89701-5790
(775) 882-3945
(775) 882-6126
Mailing address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
(775) 882-6126
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NV
Other
Enumeration date
01/08/2014
Last updated
09/27/2024
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