BRANDIE LAUREN FIRETAG

SAN LUIS OBISPO, CA
NPI1427385475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0101X Pathology, Anatomic Pathology
(Licence: CA  A112721)
Additional Taxonomies207ZC0500X Pathology, Cytopathology
(Licence: CA  A112721)
207ZC0006X Pathology, Clinical Pathology
(Licence: CA  A112721)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-11-12
Last Update Date2019-11-05
Business Address
Dr. BRANDIE LAUREN FIRETAG MD
3701 S HIGUERA ST
SAN LUIS OBISPO, CA 93401
Phone number: 805-541-6033
Mailing Address
Dr. BRANDIE LAUREN FIRETAG MD
PO BOX 22405
SAINT LOUIS, MO 63126-0405
Phone number: