Individual
CODY DEBRABANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001
(530) 225-6000
Mailing address
109 CAMARITAS CT, DANVILLE, CA 94526-5437
(954) 701-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53198
CA
Other
Enumeration date
02/02/2016
Last updated
08/21/2018
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