Individual
COY BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 E HIGHWAY 246, SUITE 300, BUELLTON, CA 93427-9645
(805) 688-6550
Mailing address
649 VELA WAY, LOMPOC, CA 93436-1833
(805) 717-1055
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P09535
CA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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