Brandy Bush

NPI #1467822452 in Harvey, Louisiana

Provider Information

NPI Number: 1467822452
Entity Type: Individual
Name: Brandy Bush
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Oct 2, 2015
Last Updated: Oct 2, 2015

Practice Location

Address: 1137 TENSAS DR APT A
City: Harvey
State: Louisiana
ZIP Code: 70058-4509
Phone: (832) 362-9330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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