Individual
MS. BRANDILEE NICOLE REDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1600
Mailing address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1600
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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