Individual
TAMMY BRINTNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 N LINDA LN, LAKE CITY, MI 49651-9227
(231) 884-4083
Mailing address
1007 N LINDA LN, LAKE CITY, MI 49651-9227
(231) 884-4083
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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