Individual
MRS. ROSALYN E BRALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
300 HERSEY STREET, SUITE 4, ASHLAND, OR 97520
(541) 821-6751
(541) 779-7482
Mailing address
PO BOX 671, ASHLAND, OR 97520
(541) 821-3751
(541) 779-7482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15531
OR
174400000X
Specialist
Primary
—
OR
Other
Enumeration date
08/08/2011
Last updated
09/12/2018
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