Individual
MS. EDNA MARIE BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
575 MAIN STREET, SUITE 149, LAUREL, MD 20707
(301) 953-3413
Mailing address
575 MAIN STREETSUITE 149, SUITE 149, LAUREL, MD 20707
(301) 953-3413
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U335
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
425027-01 AZ81
CAREFIRST BCBS
MD
Enumeration date
05/03/2007
Last updated
03/01/2009
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