Individual
MR. BRIAN PAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHN
Contact information
Practice address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
Mailing address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
782228
CA
Other
Enumeration date
05/23/2012
Last updated
07/24/2019
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