Individual
BRANDY MICHELLE BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 E DEERE AVE STE 1001940E, SANTA ANA, CA 92705-5718
(714) 742-0568
Mailing address
2516 KINCAID DR APT 204, COSTA MESA, CA 92626-6733
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
08/29/2023
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