Individual
KATHLEEN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-3507
Mailing address
295 TOLMAN CREEK RD APT 7, ASHLAND, OR 97520-7308
(215) 300-0806
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95024536
CA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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