Individual
BRANDON CHASE CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33495 FOLLMAN WAY, LAKE ELSINORE, CA 92530-6103
(714) 618-1117
Mailing address
33495 FOLLMAN WAY, LAKE ELSINORE, CA 92530-6103
(714) 618-1117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95196840
CA
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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