Individual
BRANDON LEE SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(209) 342-2300
(209) 524-4240
Mailing address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
364SE0003X
Emergency Clinical Nurse Specialist
Primary
A84807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A848070
—
CA
Enumeration date
05/10/2006
Last updated
12/08/2021
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