Individual
BROOKE NICOLE BRANCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31201 CHICAGO RD S STE C202, WARREN, MI 48093-5554
(248) 712-4381
(248) 712-4381
Mailing address
22966 ENGLEHARDT ST, SAINT CLAIR SHORES, MI 48080-2126
(586) 859-1495
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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