Individual
TIMOTHY BRANDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(847) 708-0417
Mailing address
215 N LORD AVE, CARPENTERSVILLE, IL 60110-1875
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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