Individual
BETHANY BRANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MCINTOSH DR, AUBURN, NY 13021-1364
(315) 406-3113
Mailing address
250 MCINTOSH DR, AUBURN, NY 13021-1364
(315) 406-3113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316764-1
NY
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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