Individual
VIVIAN L BRUMBELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
1435 BERRYHILL ST, MILAN, NM 87021-4223
(505) 240-1994
Mailing address
PO BOX 2495, MILAN, NM 87021-2495
(505) 240-1994
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NM
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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