Individual
MICHAEL BRANDON MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
24541 RUTHERFORD RD, RAMONA, CA 92065-4029
(760) 315-3072
Mailing address
24541 RUTHERFORD RD, RAMONA, CA 92065-4029
(760) 315-3072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95293225
CA
163WC1500X
Community Health Registered Nurse
Primary
564625
CA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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