Individual
JOHN BRANDON CONNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
37336 CALLE MAZATLAN, PALMDALE, CA 93552-4728
(661) 726-2630
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-CWOGHU
CA
Other
Enumeration date
09/13/2025
Last updated
10/24/2025
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