Individual
TINA MARIE BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 659-8132
Mailing address
2499 HARBECK RD, GRANTS PASS, OR 97527-5623
(541) 237-4886
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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