Individual
BRIAN JOANEM GORDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2570 48TH ST, SACRAMENTO, CA 95817-1541
(916) 734-2145
Mailing address
2570 48TH ST, SACRAMENTO, CA 95817-1541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
63698
CA
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
02/13/2023
Last updated
04/24/2024
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