Most Relevant Information
Provider Data
| NPI Number: | 1003635384 |
| Provider Name: | SAMMUEL JOSEPH BRULE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2024 |
| Last Updated: | 10/04/2024 |
Provider Practice Location
415 GLENSPRINGS DR STE 301
SUITE 301
SPRINGDALE
OH
452462354
Practice Location Phone/Fax
| Phone: | 5135704068 |
| Fax: |
Provider Mailing Location
415 GLENSPRINGS DR STE 301
SPRINGDALE
OH
452462354
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |