Individual
BRENDAN ANTHONY CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2853 GROOM DR, RICHMOND, CA 94806-2664
(510) 222-3946
Mailing address
387 TURQUOISE DR, HERCULES, CA 94547-1738
(510) 734-1825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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