Individual
BRANDON SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3970 E 16TH ST, INDIANAPOLIS, IN 46201-1538
(317) 490-1206
Mailing address
3970 E 16TH ST, INDIANAPOLIS, IN 46201-1538
(317) 490-1206
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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