Individual
MR. BRANDON LAMAR HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 PHELPS ST, EAST HARTFORD, CT 06108-2259
(860) 709-8781
Mailing address
76 PHELPS ST, EAST HARTFORD, CT 06108-2259
(860) 709-8781
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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