Individual
MRS. BRANDI LYNN WENZLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 769-4265
Mailing address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-0001318
CO
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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