Individual
BRANDON HENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(442) 281-5000
Mailing address
13408 COOL LAKE WAY, SAN DIEGO, CA 92128-4008
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95346517
CA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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