Individual
MS. BRANDYN TAYLOR GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9057 S PARNELL AVE, CHICAGO, IL 60620-2240
(773) 960-3024
Mailing address
9057 S PARNELL AVE, CHICAGO, IL 60620-2240
(773) 960-3024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043119150
IL
247ZC0005X
Clinical Laboratory Director (Non-physician)
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Other
Enumeration date
07/30/2018
Last updated
09/20/2021
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