MRS. Brenna Ann Sanislo

NPI #1245843085 in Fruita, Colorado

Provider Information

NPI Number: 1245843085
Entity Type: Individual
Name: MRS. Brenna Ann Sanislo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 30, 2020
Last Updated: Sep 11, 2023

Practice Location

Address: 300 W OTTLEY AVE
City: Fruita
State: Colorado
ZIP Code: 81521-2118
Phone: (970) 858-2705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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