Individual
RAYME MICHAEL BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1045 W REDONDO BEACH BLVD FL 3, GARDENA, CA 90247-4128
(323) 241-6730
(323) 967-0614
Mailing address
1533 FORD AVE, REDONDO BEACH, CA 90278-2801
(310) 808-8289
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
586605
CA
Other
Enumeration date
09/30/2011
Last updated
06/05/2023
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