Most Relevant Information
Provider Data
| NPI Number: | 1003674003 |
| Provider Name: | BRANDY HENDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/13/2024 |
| Last Updated: | 03/13/2024 |
Provider Practice Location
28 S 100 E
PRICE
UT
845013002
Practice Location Phone/Fax
| Phone: | 4356372358 |
| Fax: |
Provider Mailing Location
PO BOX 867
PRICE
UT
845010867
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |