Vanessa Wanda Bruton
Contractor in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1205853959
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1205853959
- Entity type
- Individual (NPI-1)
- Name
- Ms. Vanessa Wanda Bruton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
1425 Nw 11th StFort Lauderdale, FL 33311-6110
Phone 954-410-9794
Mailing address
1425 Nw 11th StFort Lauderdale, FL 33311-6110
Phone 954-410-9794
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