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NPI Code Detail

MEDICARE: BRANDY HOWARD

MEDICARE: BRANDY HOWARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1780922195
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY HOWARD
Provider Business Mailing Address
First Line : 5222 COSUMNES DR
Second Line : APT 206
City : STOCKTON
State : CA
Zip : 95219-7205
Country : US
Telephone Number : 209-277-0368
Fax Number :
Provider Business Practice Location Address
First Line : 5634 JEREMY WAY
Second Line :
City : STOCKTON
State : CA
Zip : 95212-2867
Country : US
Telephone Number : 510-337-7950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2013
Last Update Date : 01/18/2013

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Directions to “ BRANDY HOWARD ” Practice Location

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