Individual
BRANDON PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1229 BELLFLOWER AVE SW, CANTON, OH 44710-2015
(330) 880-9748
Mailing address
1229 BELLFLOWER AVE SW, CANTON, OH 44710-2015
(330) 880-9748
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425743
—
OH
Enumeration date
12/21/2020
Last updated
12/21/2020
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