Individual
MANJEET K BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP RN
Contact information
Practice address
999 SOUTH FAIRMONT STE 225, P GILL OBSTETRICS & GYNECOLOGY MEDICAL GRP INC, LODI, CA 95240
(209) 334-3343
(209) 334-1430
Mailing address
5116 ASHURST COURT, ELK GROVE, CA 95758
(916) 271-7355
(209) 334-1430
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
RN438150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12155
NP FURNISHING
CA
01
—
438150
RN LICENSE CA BOARD OF RN
CA
Enumeration date
08/16/2006
Last updated
07/08/2007
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