Individual
MR. RAYMONDLEE BLAKE BRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6811 SHELLEY CT, INDIANAPOLIS, IN 46219-6236
(317) 498-2837
Mailing address
6811 SHELLEY CT, INDIANAPOLIS, IN 46219-6236
(317) 498-2837
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
3490016398
IN
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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