Individual
BRYANT NAM VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2150 COAST AVE, SAN MARCOS, CA 92078-8401
(760) 481-8087
Mailing address
2150 COAST AVE, SAN MARCOS, CA 92078-8401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64283
CA
Other
Enumeration date
01/22/2024
Last updated
03/26/2024
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