SPENCER LAMONT BRANTLE

FRESNO, CA
NPI1215411954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  NP95009882)
Enumeration Date2018-09-19
Last Update Date2018-09-19
Business Address
SPENCER LAMONT BRANTLE NP
7471 N FRESNO STREET
FRESNO, CA 93720-9372
Phone number: 559-981-5566
Mailing Address
SPENCER LAMONT BRANTLE NP
7471 N FRESNO ST
FRESNO, CA 93720-2457
Phone number: 559-981-5566