Individual
MS. CONDYA ROSHERYL BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10333 HARWIN DR, HOUSTON, TX 77036-1545
(346) 571-5688
Mailing address
10333 HARWIN DR, HOUSTON, TX 77036-1545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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