Nissa Brandt, LMP Valid NPI

Individual provider · Specialist · Marysville, WA

NPI

1710193321

Type

Individual (Type 1)

Primary specialty

Specialist

Specialty group

Other Service Providers

Taxonomy code

174400000X

License number

MA00023234 (WA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-05-14

Last updated

2007-07-08