Individual
BRANDY SHANNON BAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1215 S COULTER ST, SUITE 100, AMARILLO, TX 79106-1758
(806) 359-4701
(806) 353-0091
Mailing address
1215 S COULTER, SUITE 100, AMARILLO, TX 79106
(806) 353-4701
(806) 353-0091
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
152612
TX
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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