Individual
BRANDI CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6246
(575) 439-4457
Mailing address
1900 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6246
(575) 439-4457
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
1657490
CO
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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