Individual provider · NPI-1

Brandon Boyd

Case Manager/Care Coordinator · Harvey, LA

NPI number1962969618
StatusActive
Last updated in NPPESMay 6, 2019

Details

NPI
1962969618
Entity type
Individual (NPI-1)
Name
Brandon Boyd
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 28, 2019
Last updated
May 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2439 Manhattan Blvd Ste 207
Harvey, LA 70058-5361

Phone 504-364-8949

Mailing address

2439 Manhattan Blvd Ste 207
Harvey, LA 70058-5361

Phone 504-364-8949

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