Individual
BRANDON CHRISTOPHER SHELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 THAYER ST, NEW ORLEANS, LA 70114
(504) 314-5769
Mailing address
1110 THAYER ST, NEW ORLEANS, LA 70114-2555
(504) 314-5769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
08/15/2018
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