Individual
MS. BRANDI BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 MARTIN LUTHER KING BLVD., MALVERN, AR 72104
(501) 332-5236
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913
(501) 620-5130
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
12/19/2008
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