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Niesha Brandon
NPI 1619398435 · on the registry since 2013
Practice
- Address
- 2273 Queensbridge Dr
Lynwood, IL 60411 - Phone
- (773) 600-3866
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois