Individual
BRANDY WAITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 N TURNER ST, HOBBS, NM 88240-4331
(575) 298-1452
Mailing address
PO BOX 1962, HOBBS, NM 88241-1962
(806) 773-6048
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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