Individual
MRS. CAMERON RAE BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4701 N CENTRAL AVE, PHOENIX, AZ 85012-1723
(602) 264-5291
Mailing address
2346 E SYLVIA ST, PHOENIX, AZ 85022-5857
(505) 480-8632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009311
AZ
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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