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Brandy Michelle Breedlove

Community Health Worker in Santa Ana, CA. Individual provider (NPI-1).

NPI number1336729029
StatusActive
Last updated in NPPESAug 29, 2023

Details

NPI
1336729029
Entity type
Individual (NPI-1)
Name
Brandy Michelle Breedlove
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 8, 2021
Certification date
Aug 29, 2023
Last updated
Aug 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1940 E Deere Ave Ste 1001940e
Santa Ana, CA 92705-5718

Phone 714-742-0568

Mailing address

2516 Kincaid Dr Apt 204
Costa Mesa, CA 92626-6733

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