Individual
CHANTAY CHERIE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14021 GRAND AVE, BURNSVILLE, MN 55337-5701
(651) 420-5372
Mailing address
14021 GRAND AVE, BURNSVILLE, MN 55337-5701
(651) 420-5372
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
03/05/2026
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