Individual
BRANDON VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2241 FARNUM ST STE 102, CASPER, WY 82609-4108
(307) 337-1304
Mailing address
PO BOX 50295, CASPER, WY 82605-0295
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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