Individual
MR. BRENNNAN HOUBRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(509) 979-9317
Mailing address
1106 N WINCHESTER LN, LIBERTY LAKE, WA 99019-7556
(509) 979-9317
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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