Individual
MRS. MARILYN JOYCE BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 STONE CANYON DR, ROSEVILLE, CA 95661-4041
(916) 397-0584
(916) 783-0415
Mailing address
1617 STONE CANYON DR, P. O. BOX 26, ROSEVILLE, CA 95661-4041
(916) 397-0584
(916) 783-0415
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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