BRANDI LEA BOUSHEE

GFAFB, ND
NPI1720387434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ND  1160)
Enumeration Date2011-03-21
Last Update Date2011-03-21
Business Address
Miss BRANDI LEA BOUSHEE RDH
1599 J ST BLDG 109A
GFAFB, ND 58205-6306
Phone number: 701-747-5393
Mailing Address
Miss BRANDI LEA BOUSHEE RDH
1599 J ST BLDG 109A
GFAFB, ND 58205-6306
Phone number: 701-747-5393