Individual
BRANDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 THOMPSON CIR, NEWARK, DE 19711-7129
(281) 468-6202
Mailing address
56 THOMPSON CIR, NEWARK, DE 19711-7129
(281) 468-6202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000474
DE
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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