Individual
BRANDON SCOTT VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
321 PRESTON ST, BLUEFIELD, WV 24701-3724
(269) 716-6687
Mailing address
26 TURLEY ST, MADISON, WV 25130-1348
(269) 716-6687
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
08/23/2023
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