Individual
BRANDY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E MAIN ST STE 117, BARSTOW, CA 92311-2361
(760) 255-1496
(760) 255-2542
Mailing address
222 E MAIN ST STE 117, BARSTOW, CA 92311-2361
(760) 255-1496
(760) 255-2542
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
06/02/2014
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