Brandi Shante Fletcher, physician assistant
Physician Assistant in Los Angeles, CA. Individual provider (NPI-1).
NPI number1457579989
StatusActive
Last updated in NPPESJul 26, 2014
Details
- NPI
- 1457579989
- Entity type
- Individual (NPI-1)
- Name
- Miss Brandi Shante Fletcher
- Credential
- physician assistant
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2007
- Last updated
- Jul 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 18201 | CA | Yes |
Other names
- Brandi Shante Sharp (Other Name)
Practice location
5850 S Main StLos Angeles, CA 90003-1215
Phone 323-846-4267
Mailing address
4656 Don Miguel DrLos Angeles, CA 90008-4103
Phone 310-977-9236
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