Individual
BRANDON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3390
Mailing address
730 BREEZE HILL RD, UNIT 251, VISTA, CA 92081-4319
(858) 450-7161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51932
CA
Other
Enumeration date
09/12/2014
Last updated
11/29/2021
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