NPI | 1457812984 |
---|---|
Former Name | BRANDI NICOLE TANKS-RENCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
171400000X Health & Wellness Coach | |
173C00000X Reflexologist | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-02-29 |