Individual
BRANT LOUIS REGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
405 HIGHWAY 65, LINCOLN, CA 95648-9323
(916) 408-0810
Mailing address
405 HIGHWAY 65, LINCOLN, CA 95648-9323
(916) 408-0810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY45236
CA
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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