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Individual

BRANDON CHANG HWUN RO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, PMHNP

Contact information

Practice address
5565 GROSSMONT CENTER DR STE 229, LA MESA, CA 91942-3026
(858) 342-4572
Mailing address
5565 GROSSMONT CENTER DR STE 229, LA MESA, CA 91942-3026
(858) 342-4572

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95207609
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029635
CA

Other

Enumeration date
08/04/2022
Last updated
09/03/2024
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