Individual
BRENDAN JOSEPH MENIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
876 N 5TH ST, BREESE, IL 62230-1330
(618) 977-0042
Mailing address
876 N 5TH ST, BREESE, IL 62230-1330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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