Organization
THE BRANDON EXPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON PROWELL (OWNER/CERTIFIED HAIR LOSS SPECIALIS)
(216) 413-9250
Entity
Organization
Contact information
Practice address
6505 MAYFIELD RD STE 106, MAYFIELD HEIGHTS, OH 44124-3216
(216) 413-9250
Mailing address
6505 MAYFIELD RD STE 106, MAYFIELD HEIGHTS, OH 44124-3216
(216) 413-9250
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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