Individual
BRANT L GERCKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
801 S VICTORIA AVE STE 100, VENTURA, CA 93003-5357
(805) 644-0460
(805) 644-0465
Mailing address
801 S VICTORIA AVE STE 100, VENTURA, CA 93003-5357
(805) 644-0460
(805) 644-0465
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
14605
CA
Other
Enumeration date
02/06/2007
Last updated
02/02/2016
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