JERRY LENDO BRANTLEY

GREENVILLE, NC
NPI1407173867
Professional NameLEN BRANTLEY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  84747)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NC  186544)
Enumeration Date2010-04-26
Last Update Date2021-03-30
Business Address
JERRY LENDO BRANTLEY CRNA
2080 W ARLINGTON BLVD STE B
GREENVILLE, NC 27834-3770
Phone number: 252-752-2140
Mailing Address
JERRY LENDO BRANTLEY CRNA
2080 W ARLINGTON BLVD STE B
GREENVILLE, NC 27834-3770
Phone number: 252-752-2140