Individual
BRANDON WALTER OARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17270 ROOSEVELT ST, RIVERSIDE, CA 92508-9523
(951) 780-2541
Mailing address
17270 ROOSEVELT ST, RIVERSIDE, CA 92508-9523
(951) 780-2541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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