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Individual

BRANDON MORLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1611 W MAIN ST, EL CENTRO, CA 92243-2212
(760) 337-1144
Mailing address
917 VINE ST, EL CENTRO, CA 92243-3831
(760) 234-9697

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
51751
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
96170412D
CALIFORNIA HEALTH AND WELLNESS
CA
Enumeration date
04/15/2022
Last updated
04/15/2022
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