Individual
MR. DARYL ADRIAN BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 MANILA AVENUE, APT 1, JERSEY CITY, NJ 07302
(201) 993-9654
Mailing address
522 MANILA AVENUE, APT 1, JERSEY CITY, NJ 07302
(201) 659-7687
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
146808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02229023
—
NY
Enumeration date
08/08/2007
Last updated
02/23/2010
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