Individual
DR. BRANDON AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1730 E BROAD ST, HAZLETON, PA 18201-5657
(570) 497-4150
Mailing address
1730 E BROAD ST, HAZLETON, PA 18201-5657
(570) 497-4150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011510
PA
Other
Enumeration date
09/30/2019
Last updated
06/02/2020
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