| NPI | 1164735767 |
|---|---|
| Other Name | BRANDON CHARLES DEVASIER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2021-06-15 |