Individual
MRS. BRANDI L LUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1345 NW ALMIRA ST, ROSEBURG, OR 97471-6115
(541) 680-8600
Mailing address
125 NE PEGGY AVE, ROSEBURG, OR 97470-1486
(541) 677-9292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
091003370RN
OR
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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