Individual
CHARLOTTE LESLIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13525 MIDLAND RD, POWAY, CA 92064-4771
(858) 486-9100
Mailing address
4648 OHIO ST UNIT 3, SAN DIEGO, CA 92116-3250
(951) 704-9687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95012552
CA
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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