THOMAS JESSE BRANDON

LENEXA, KS
NPI1184018558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704243187)
Enumeration Date2015-03-24
Last Update Date2015-09-06
Business Address
-- THOMAS JESSE BRANDON NP
10101 RENNER BLVD
LENEXA, KS 66219-9752
Phone number: 800-873-8845
Mailing Address
-- THOMAS JESSE BRANDON NP
25373 VAN DYKE AVE
CENTER LINE, MI 48015-1425
Phone number: 586-436-4469