Individual
BRANDY KOTZAMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 206-3752
(314) 588-8089
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.080643
IL
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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