Provider Demographics
NPI:1215730866
Name:WEBB, BRIONNA CHANAY
Entity type:Individual
Prefix:
First Name:BRIONNA
Middle Name:CHANAY
Last Name:WEBB
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21821 RAUSCH AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2590
Mailing Address - Country:US
Mailing Address - Phone:586-746-4368
Mailing Address - Fax:
Practice Address - Street 1:21821 RAUSCH AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2590
Practice Address - Country:US
Practice Address - Phone:586-746-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty