Most Relevant Information
Provider Data
| NPI Number: | 1003490681 |
| Provider Name: | BRANDON DESEAN NEWKIRK QMHA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2021 |
| Last Updated: | 05/10/2021 |
Provider Practice Location
4200 S VALLEY VIEW BLVD UNIT 1035J
LAS VEGAS
NV
891034031
Practice Location Phone/Fax
| Phone: | 9107477179 |
| Fax: |
Provider Mailing Location
4200 S VALLEY VIEW BLVD UNIT 1035J
LAS VEGAS
NV
891034031
Provider Mailing Phone/Fax
| Phone: | 9107477179 |
| Fax: |