Individual
BRYAN PATRICK ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 BEACON ST, FORT WAYNE, IN 46805-4750
(260) 442-4512
Mailing address
1825 BEACON ST, FORT WAYNE, IN 46805-4750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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