Individual
DR. BRANDON KEITH MUTRUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3245 SPORTS ARENA BLVD, T-0201, SAN DIEGO, CA 92110-4529
(619) 471-0030
Mailing address
3245 SPORTS ARENA BLVD, T-0201, SAN DIEGO, CA 92110-4529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61583
CA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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