Individual
CHANDRA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 S TREMONT ST, OCEANSIDE, CA 92054-5309
(760) 439-2800
Mailing address
2585 B ST, SAN DIEGO, CA 92102-2112
(916) 266-1446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95039608
CA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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