Individual
ANGELA HARRISON BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3540 CRAIN HWY # 500, BOWIE, MD 20716-1303
(301) 262-2233
(240) 686-1972
Mailing address
3540 CRAIN HWY # 500, BOWIE, MD 20716-1303
(301) 262-2233
(240) 686-1972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0054039
MD
Other
Enumeration date
08/08/2006
Last updated
07/16/2010
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