Brillana Jeanmarie
Phlebology in Pompano Beach, FL. Individual provider (NPI-1).
NPI number1093545394
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1093545394
- Entity type
- Individual (NPI-1)
- Name
- Brillana Jeanmarie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2024
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | MLO0190 | FL | Yes |
Practice location
349 Sw 2nd Pl Apt 1Pompano Beach, FL 33060-6982
Phone 954-954-9545
Mailing address
349 Sw 2nd Pl Apt 1Pompano Beach, FL 33060-6982
Phone 954-954-9545
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