Individual
BRIANNA LOVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 SAM BASS CIR, ROUND ROCK, TX 78681-4146
(512) 786-3003
Mailing address
PO BOX 486, ROUND ROCK, TX 78680-0486
(512) 786-3003
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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