Individual
TASHA LYNETTE BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 N HIGHLANDS DR, URBANA, IL 61801-1865
(217) 417-7911
Mailing address
1002 N HIGHLANDS DR, URBANA, IL 61801-1865
(217) 417-7911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3002397
IL
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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