Individual
BRANDEN HAWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5331 ERICKSON DR, GRANITE BAY, CA 95746-6303
(909) 267-8178
Mailing address
5331 ERICKSON DR, GRANITE BAY, CA 95746-6303
(909) 267-8178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5CP6QAJQ7D6722J8V7XE
PA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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