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Brandon Ross
NPI 1235602236 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2355 Poppy Hills Dr
Chula Vista, CA 91915 - Phone
- (619) 309-9677
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California