SearchCalifornia310400000X

Brandon Rose, B.S. DEGREE

NPI 1942606108 · on the registry since 2014 · sole proprietor

Practice

Address
9207 Mammath Peak Cir
Stockton, CA 95212
Phone
(209) 623-7456
Fax
(209) 594-1872

Registry record

Primary taxonomy
310400000X
310400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-14

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