Casey Jo Brothers, LMP

NPI #1497014799 in Battle Ground, Washington

Provider Information

NPI Number: 1497014799
Entity Type: Individual
Name: Casey Jo Brothers, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMP
Enumeration Date: May 8, 2012
Last Updated: May 8, 2012

Practice Location

Address: 1207 SE RASMUSSEN BLVD
Address 2: STE. 111
City: Battle Ground
State: Washington
ZIP Code: 98604-8618
Phone: (360) 687-2701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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