Individual
PAUL CARL BRANDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(707) 235-1035
Mailing address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
492238
CA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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