Individual
BRANDON DARDEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 CODDING DR, MODESTO, CA 95350-3356
(209) 622-7189
Mailing address
2302 CODDING DR, MODESTO, CA 95350-3356
(209) 622-7189
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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