Provider Demographics
NPI:1841971702
Name:JARAMILLO, BRANDY MARIE (ASW)
Entity type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:MARIE
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:MARIE
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5097 W FREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-3694
Mailing Address - Country:US
Mailing Address - Phone:559-974-3777
Mailing Address - Fax:
Practice Address - Street 1:6311 N FRESNO ST STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5293
Practice Address - Country:US
Practice Address - Phone:559-431-3333
Practice Address - Fax:559-431-9777
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program