Individual
DALLAS BRANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
645 PARFET ST, LAKEWOOD, CO 80215-5574
(303) 239-7172
Mailing address
130 KNOX CT, DENVER, CO 80219-1438
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
1698392
CO
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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