Individual
MS. MAMIE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 S KING DR, APT. 1317, CHICAGO, IL 60616-3344
(312) 326-3694
(312) 326-3694
Mailing address
2951 SO. KING DR., APT. 1317, CHICAGO, IL 60616-3362
(312) 326-3694
(312) 326-3694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-168769
IL
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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