Individual
BRANDI DELANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 JEWEL SISSON DR UNIT 304, BELLEVILLE, IL 62223-3586
(618) 477-3790
Mailing address
1855 JEWEL SISSON DR UNIT 304, BELLEVILLE, IL 62223-3586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041554447
IL
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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