Individual
BRANDON DARION DANTRIEL HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E 13TH STREET, MERCED, CA 95341
(209) 385-7311
Mailing address
301 E 13TH STREET, MERCED, CA 95341
(209) 385-7311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
02/06/2025
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