MISS Angela Selena Brantley, LPN
NPI #1013327865 in Southfield, Michigan
Provider Information
- NPI Number
- 1013327865
- Entity Type
- Individual
- Name
- MISS Angela Selena Brantley, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 2, 2014
- Last Updated
- May 2, 2014
Practice Location
- Address
- 26705 W CARNEGIE PARK DR
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48034-6164
- Phone
- (313) 648-2259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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