Individual
BRANDI MERCEDES PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HCO PROVIDER
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
2978-01-001
VA
172V00000X
Community Health Worker
Primary
HCO-222657
VA
Other
Enumeration date
01/14/2020
Last updated
08/31/2021
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