Individual
BRADY FERDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6153 FAIRMOUNT AVE, STE 260, SAN DIEGO, CA 92120-3443
(619) 481-3790
Mailing address
6153 FAIRMOUNT AVE, STE 260, SAN DIEGO, CA 92120-3443
(619) 481-3790
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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