Individual
TERRANCE BRAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2533 E 24TH ST, GRANITE CITY, IL 62040-5638
(314) 397-8326
Mailing address
1342 KINGSLAND AVE, SAINT LOUIS, MO 63133-1614
(314) 479-5710
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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