Individual
BRANDON KIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QHMS
Contact information
Practice address
273 E JACKSON ST, PAINESVILLE, OH 44077-4042
(440) 709-0053
Mailing address
5545 SMITH ROAD, BROOK PARK, OH 44142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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