Individual
JOLENE BRANDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
446 DORIS RD, GRAND JUNCTION, CO 81504-8628
(970) 712-7679
Mailing address
446 DORIS RD, GRAND JUNCTION, CO 81504-8628
(970) 712-7679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
197219
CO
Other
Enumeration date
11/09/2013
Last updated
11/09/2013
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