Individual
BRANDI ANN RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 PITTMAN RD APT 521, FAIRFIELD, CA 94534-6730
(219) 781-5045
Mailing address
450 PITTMAN RD APT 521, FAIRFIELD, CA 94534-6730
(219) 781-5045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95203953
CA
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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