Individual
BRANDY RAY HAYWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 COLORADO AVE APT 2105, PARACHUTE, CO 81635-9615
(970) 440-0283
Mailing address
200 COLORADO AVE APT 2105, PARACHUTE, CO 81635-9615
(970) 440-0283
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-3300149
—
CO
Enumeration date
10/05/2020
Last updated
10/05/2020
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