Individual
RAY BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
9731 HIGHWAY 89, RICHLAND, MI 49083
(269) 629-0324
Mailing address
6558 W H AVE, KALAMAZOO, MI 49009-8557
(269) 806-4601
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6451022677
MI
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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